Individual
DR. MATTHEW PATRICK DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
21410 136TH AVE NORTH SUITE #109, ROGERS, MN 55374
(763) 428-2217
(763) 428-8586
Mailing address
21410 136TH AVE NORTH SUITE #109, ROGERS, MN 55374
(763) 428-2217
(763) 428-8586
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10980
MN
Other
Enumeration date
05/04/2007
Last updated
07/03/2019
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