Organization
PATRICK C. DALE D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK CHRISTOPHER DALE D.D.S. (PRESIDENT)
(763) 424-2930
Entity
Organization
Contact information
Practice address
13800 83RD WAY N, SUITE 106, MAPLE GROVE, MN 55369-7016
(763) 424-2930
(763) 425-1487
Mailing address
13800 83RD WAY N, SUITE 106, MAPLE GROVE, MN 55369-7016
(763) 424-2930
(763) 425-1487
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11343
MN
Other
Enumeration date
05/04/2007
Last updated
08/22/2020
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