NPI 1003009374

Endodontic Professionals PA Arbor Lakes Endodontics

Organisation Endodontics Maple Grove, MN

Practice location

Address: 12000 Elm Creek Blvd Suite 240, Maple Grove, MN 55369
Phone: (763) 416-3619
Fax: (763) 416-3695

Authorised official

Name: Thomas a Karn
Title: Vice President
Phone: (763) 416-3619

Registered specialties

Endodontics Primary

Dental Providers Taxonomy 1223E0200X Licence 6500003 (MN)

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Registry record

NPI: 1003009374
Entity type: Organization
NPI issued: 21 Aug 2007
Record last updated: 21 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.