DOUGLAS GEORGE SHAMP

MAPLE GROVE, MN
NPI1457349599
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: MN  9126)
Enumeration Date2005-10-12
Last Update Date2007-07-08
Business Address
-- DOUGLAS GEORGE SHAMP D.D.S
7270 FORESTVIEW LN N #250
MAPLE GROVE, MN 55369-5546
Phone number: 763-424-9202
Mailing Address
-- DOUGLAS GEORGE SHAMP D.D.S
7270 FORESTVIEW LN N
MAPLE GROVE, MN 55369-5605
Phone number: 763-424-9202