Organization
MAPLE BROOK DENTAL CENTER OF MN LTD
Active
Other names
Maple Brook Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DANH LAM DDS (OWNER DENTIST/PRESIDENT)
(763) 742-2773
Entity
Organization
Contact information
Practice address
8401 W BROADWAY AVE, BROOKLYN PARK, MN 55445-2266
(763) 424-5313
(763) 424-4503
Mailing address
8401 W BROADWAY AVE, BROOKLYN PARK, MN 55445-2266
(763) 424-5313
(763) 424-4503
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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