| Sunny Dental P.c. | |
|
6240 Quinwood Ln N Ste 200 Maple Grove MN 55369-6384 | |
| (763) 208-3210 | |
| Not Available |
| Full Name | Sunny Dental P.c. |
|---|---|
| Speciality | Dentist |
| Location | 6240 Quinwood Ln N Ste 200, Maple Grove, Minnesota |
| Authorized Official Name and Position | Tae Je Lee (PRESIDENT) |
| Authorized Official Contact | 7632083210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunny Dental P.c. 6240 Quinwood Ln N Ste 200 Maple Grove MN 55369-6384 Ph: () - | Sunny Dental P.c. 6240 Quinwood Ln N Ste 200 Maple Grove MN 55369-6384 Ph: (763) 208-3210 |
| NPI Number | 1962158709 |
|---|---|
| Provider Enumeration Date | 03/01/2022 |
| Last Update Date | 12/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962158709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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