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1487303889
FAMILY PERIODONTIC SPECIALISTS, PLC
MAPLE GROVE, MN
NPI
1487303889
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Entity Type
Organization
Authorized Contact
CELIA HAYES
Credentialing COO Rdinator
217-540-2100
Organization Subpart ?
Yes
Primary Taxonomy
1223P0300X Dentist Periodontics
Enumeration Date
2022-03-22
Last Update Date
2022-03-22
Business Address
FAMILY PERIODONTIC SPECIALISTS, PLC
15785 95TH AVE N
MAPLE GROVE, MN 55369-4404
Phone number: 763-233-4141
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Mailing Address
FAMILY PERIODONTIC SPECIALISTS, PLC
15785 95TH AVE N
MAPLE GROVE, MN 55369-4404
Phone number: 763-233-4141
Copy
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