Matthew Patrick Dale DDS

NPI 1003028861 - Dentist - 1223G0001X

NPI Details
NPI 1003028861
Gender Male
Enumeration Date 05/04/2007
Last Updated 08/13/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
13800 83RD WAY N
MAPLE GROVE MN, 55369-7016, US
Phone (763) 425-2072
Fax (763) 425-1487
Business Location
MAPLE GROVE MN, 55369-7004, US
Phone (763) 425-2072
Fax (763) 425-1487
Taxonomy Code 1223G0001X
License State Minnesota
License Number D10980
Remove 1003028861 NPI Number

According to our database, Dr. Matthew Patrick Dale DDS NPI is 1003028861, taxonomy code is 1223G0001X and license number is D10980, license state is located at Minnesota. Matthew Patrick Dale DDS physically located at 13800 83rd Way N, Maple Grove MN, 55369-7016. NPI Number Matthew Patrick Dale DDS has the Individual type.

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1003028861 NPI number is provided on an as is basis without warranty of any kind. 1003028861 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew Patrick Dale DDS are for informational purposes only.