CHRISTOPHER MICHAEL DE LA MATER DDS
Individual Provider (NPI-1)
Active
Oral & Maxillofacial Surgery
Provider Information
- NPI Number
1992848808- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DDS
- Status
- Active
Contact & Location
- Address
- 3833 COON RAPIDS BLVD NW STE 220, COON RAPIDS, MN, 554332597
- Phone
- (763) 421-6271
- Fax
- (763) 421-6273
Specialties & Taxonomies
Oral & Maxillofacial Surgery
Primary License: MN #D12752