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Organization
MAPLE BROOK DENTAL CENTER OF MN LTD
Active
Organization
MAPLE BROOK DENTAL CENTER OF MN LTD
Active
Other names
Maple Brook Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DANH LAM DDS (OWNER DENTIST/PRESIDENT)
(763) 742-2773
Entity
Organization
Contact information
Practice address
8401 W BROADWAY AVE, BROOKLYN PARK, MN 55445-2266
(763) 424-5313
(763) 424-4503
Mailing address
8401 W BROADWAY AVE, BROOKLYN PARK, MN 55445-2266
(763) 424-5313
(763) 424-4503
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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