| NPI | 1902614167 |
|---|---|
| Doing Business As | MAPLE BROOK DENTAL |
| Entity Type | Organization |
| Authorized Contact | DANH LAM Owner Dentist/President 763-742-2773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-12-20 |
| Last Update Date | 2024-12-20 |