Family Periodontic Specialists, PLC
Family Periodontic Specialists, PLC provides Periodontics in Maple Grove, Minnesota. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
15785 95th Ave NMaple Grove, MN 55369-4404
Phone: (763) 233-4141
Fax: (763) 420-3158
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Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X |
|---|
Record details
| NPI number | 1487303889 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Family Periodontic Specialists, PLC |
| Authorized official | Celia Hayes — Credentialing Coordinator · (217) 540-2100 |
| Other names | Metro Dentalcare Specialty Center Maple Grove - Periodontics |
| NPI enumerated | March 22, 2022 |
| Last updated in NPPES | March 22, 2022 |
| Certification date | March 22, 2022 |
| Mailing address | 15785 95th Ave N, Maple Grove, MN 55369-4404 |
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