| NPI | 1396129433 |
|---|---|
| Doing Business As | MAPLE GROVE SMILES DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J PERPICH Owner 763-218-7005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2015-07-18 |