| Dental Delivery Systems Of Maple Grove Llc | |
|
9400 Upland Lane N Maple Grove MN 55369 | |
| (763) 363-0063 | |
| (763) 363-3321 |
| Full Name | Dental Delivery Systems Of Maple Grove Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9400 Upland Lane N, Maple Grove, Minnesota |
| Authorized Official Name and Position | Jason Edward Pass (CFO) |
| Authorized Official Contact | 9522247233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Delivery Systems Of Maple Grove Llc 13899 Highway 13 S Savage MN 55378-2135 Ph: (952) 440-2292 | Dental Delivery Systems Of Maple Grove Llc 9400 Upland Lane N Maple Grove MN 55369 Ph: (763) 363-0063 |
| NPI Number | 1760272611 |
|---|---|
| Provider Enumeration Date | 05/12/2025 |
| Last Update Date | 05/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760272611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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