Organization
MAPLE GROVE SMILES DENTISTRY, PC
Active
Other names
Maple Grove Smiles Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J PERPICH DDS (OWNER)
(763) 218-7005
Entity
Organization
Contact information
Practice address
12775 ELM CREEK BLVD N, MAPLE GROVE, MN 55369
(763) 218-7005
(763) 416-0498
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/18/2015
Last updated
07/18/2015
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