| NPI | 1760272611 |
|---|---|
| Doing Business As | DENTAL ASSOCIATES OF MAPLE GROVE |
| Entity Type | Organization |
| Authorized Contact | JASON EDWARD PASS CFO 952-224-7233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2025-05-12 |