Organization
PIONEER DENTAL, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIMPLE MALIK DDS (OWNER/PRESIDENT)
(763) 536-1100
Entity
Organization
Contact information
Practice address
4227 WINNETKA AVE N, NEW HOPE, MN 55428-4924
(763) 536-1100
(763) 536-1212
Mailing address
4227 WINNETKA AVE N, NEW HOPE, MN 55428-4924
(763) 536-1100
(763) 536-1212
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11732
MN
Other
Enumeration date
07/21/2011
Last updated
08/01/2011
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