Individual
DR. MAXIM S BARSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7950 MAIN ST. SUITE 205, MAPLE GROVE, MN 55369
(763) 561-2273
(763) 561-5761
Mailing address
7950 MAIN ST. SUITE 205, MAPLE GROVE, MN 55369
(952) 836-1113
(952) 836-1184
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
G12236
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
742317900
MA
MN
Enumeration date
10/23/2006
Last updated
03/05/2020
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