DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PDB, DDS, PA

Active Organization

Dental Clinic · MAPLE GROVE, MN

Registration Details

NPI Number
1942809637
Provider Type
Organization
NPI Issued
Oct 22, 2020 (5.5159445735093 yrs)
Last Updated
Oct 22, 2020

Practice Information

Address
12736 BASS LAKE RD
MAPLE GROVE, MN, 553696307
Browse MN providers · Browse ZIP 55369
Phone
7635592082
Primary Specialty
Dental Clinic
261QD0000X

Other Dental Clinic Organizations in MAPLE GROVE, MN

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.