GROVE DENTIST PA

MAPLE GROVE, MN
NPI1326481284
Entity TypeOrganization
Authorized ContactRENY CHACKO
Dentist
651-308-2804
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MN  D11844)
Enumeration Date2013-04-10
Last Update Date2013-04-10
Business Address
GROVE DENTIST PA
13649 GROVE DR
MAPLE GROVE, MN 55311-4405
Phone number: 763-420-8038
Mailing Address
GROVE DENTIST PA
13649 GROVE DR
MAPLE GROVE, MN 55311-4405
Phone number: 763-420-8038
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