FAMILY PERIODONTIC SPECIALISTS, PLC

MAPLE GROVE, MN
NPI1487303889
Entity TypeOrganization
Authorized ContactCELIA HAYES
Credentialing COO Rdinator
217-540-2100
Organization Subpart ?Yes
Primary Taxonomy1223P0300X Dentist Periodontics
Enumeration Date2022-03-22
Last Update Date2022-03-22
Business Address
FAMILY PERIODONTIC SPECIALISTS, PLC
15785 95TH AVE N
MAPLE GROVE, MN 55369-4404
Phone number: 763-233-4141
Mailing Address
FAMILY PERIODONTIC SPECIALISTS, PLC
15785 95TH AVE N
MAPLE GROVE, MN 55369-4404
Phone number: 763-233-4141
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