Organization
FORESTVIEW DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENIE KUBLE (CONTACT OFFICER)
(920) 450-0157
Entity
Organization
Contact information
Practice address
7270 FORESTVIEW LN N, MAPLE GROVE, MN 55369-5546
(763) 424-9202
Mailing address
7270 FORESTVIEW LN N, MAPLE GROVE, MN 55369-5546
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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