| Patrick C. Dale D.d.s., P.a. | |
|
13800 83rd Way N Suite 106 Maple Grove MN 55369-7016 | |
| (763) 424-2930 | |
| (763) 425-1487 |
| Full Name | Patrick C. Dale D.d.s., P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13800 83rd Way N, Maple Grove, Minnesota |
| Authorized Official Name and Position | Patrick Christopher Dale (PRESIDENT) |
| Authorized Official Contact | 7634242930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick C. Dale D.d.s., P.a. 13800 83rd Way N Suite 106 Maple Grove MN 55369-7016 Ph: (763) 424-2930 | Patrick C. Dale D.d.s., P.a. 13800 83rd Way N Suite 106 Maple Grove MN 55369-7016 Ph: (763) 424-2930 |
| NPI Number | 1336351022 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336351022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D11343 (Minnesota) | Primary |
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