NPI 1124230800
Matthew P Dale DDS PA
Practice location
- Address
- 13998 Maple Knoll Way # Ll103, Maple Grove, MN 55369-7004
- Phone
- (763) 425-2072
- Fax
- (763) 425-1487
Authorised official
- Name
- Matthew Patrick Dale
- Title
- President
- Phone
- (763) 245-2072
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1124230800
- Entity type
- Organization
- NPI issued
- 4 May 2007
- Record last updated
- 13 Aug 2014
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.