Individual
DR. MARK M DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
6810 HEMLOCK LN N, MAPLE GROVE, MN 55369-5502
(763) 425-9888
(763) 425-9835
Mailing address
6810 HEMLOCK LN N, MAPLE GROVE, MN 55369-5502
(763) 425-9888
(763) 425-9835
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D10314
MN
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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