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Organization
MAPLE GROVE SMILES DENTISTRY, PC
Active
Organization
MAPLE GROVE SMILES DENTISTRY, PC
Active
Other names
Maple Grove Smiles Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J PERPICH DDS (OWNER)
(763) 218-7005
Entity
Organization
Contact information
Practice address
12775 ELM CREEK BLVD N, MAPLE GROVE, MN 55369
(763) 218-7005
(763) 416-0498
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/18/2015
Last updated
07/18/2015
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