Organization
TRUE NORTH ORAL SURGERY AND IMPLANTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARSHALL LLOYD WADE D.D.S. (ORAL SURGEON/PRESIDENT)
(651) 578-7000
Entity
Organization
Contact information
Practice address
9950 VALLEY CREEK RD, SUITE 100, WOODBURY, MN 55125-4883
(651) 578-7000
(651) 578-0157
Mailing address
9950 VALLEY CREEK RD, SUITE 100, WOODBURY, MN 55125-4883
(651) 578-7000
(651) 578-0157
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D9734
MN
Other
Enumeration date
01/04/2017
Last updated
04/12/2017
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