Organization
DENTAL DELIVERY SYSTEMS OF MAPLE GROVE LLC
Active
Other names
Dental Associates of Maple Grove
Organization subpart
No
Provider details
NPI number
Authorized official
JASON EDWARD PASS (CFO)
(952) 224-7233
Entity
Organization
Contact information
Practice address
9400 UPLAND LANE N, MAPLE GROVE, MN 55369
(763) 363-0063
(763) 363-3321
Mailing address
13899 HIGHWAY 13 S, SAVAGE, MN 55378-2135
(952) 440-2292
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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