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Organization
MATTHEW P DALE DDS PA
Active
Organization
MATTHEW P DALE DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW PATRICK DALE DDS (PRESIDENT)
(763) 245-2072
Entity
Organization
Contact information
Practice address
13998 MAPLE KNOLL WAY # LL103, MAPLE GROVE, MN 55369-7004
(763) 425-2072
(763) 425-1487
Mailing address
13998 MAPLE KNOLL WAY # LL103, MAPLE GROVE, MN 55369-7004
(763) 425-2072
(763) 425-1487
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10980
MN
Other
Enumeration date
05/04/2007
Last updated
08/13/2014
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