GROVE DENTIST PA
Organization (NPI-2)
Active
Dentist, General Practice
Provider Information
- NPI Number
1326481284- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 13649 GROVE DR, MAPLE GROVE, MN, 553114405
- Phone
- (763) 420-8038
- Fax
- (763) 494-4222
Specialties & Taxonomies
Dentist, General Practice
Primary License: MN #D11844