Family Oral Surgery Specialists, Plc | |
15785 95th Ave N Maple Grove MN 55369-4404 | |
(763) 233-4141 | |
(763) 420-3158 |
Full Name | Family Oral Surgery Specialists, Plc |
---|---|
Speciality | Dentist - Oral And Maxillofacial Pathology |
Location | 15785 95th Ave N, Maple Grove, Minnesota |
Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 2175402100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family Oral Surgery Specialists, Plc 15785 95th Ave N Maple Grove MN 55369-4404 Ph: (763) 233-4141 | Family Oral Surgery Specialists, Plc 15785 95th Ave N Maple Grove MN 55369-4404 Ph: (763) 233-4141 |
NPI Number | 1497404818 |
---|---|
Provider Enumeration Date | 03/22/2022 |
Last Update Date | 03/22/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497404818 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0106X | Dentist - Oral And Maxillofacial Pathology | (* (Not Available)) | Primary |
News Archive
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