Organization
FAMILY ENDODONTIC SPECIALISTS PLC
Active
Parent organization
FAMILY ENDODONTIC SPECIALISTS PLC
Other names
Metro Dentalcare Specialty Center Maple Grove Endodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY ENDODONTIC SPECIALISTS PLC
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
15785 95TH AVE N, MAPLE GROVE, MN 55369-4404
(763) 233-4140
Mailing address
15785 95TH AVE N, MAPLE GROVE, MN 55369-4404
(763) 233-4140
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/11/2022
Last updated
01/06/2023
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