Individual
LILLY VUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9600 UPLAND LN N STE 200, MAPLE GROVE, MN 55369-4496
(763) 416-0037
Mailing address
9600 UPLAND LN N STE 200, MAPLE GROVE, MN 55369-4496
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D15426
MN
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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