NPI 1205204146

Forestview Dental

Organisation Dentist Maple Grove, MN

Practice location

Address: 7270 Forestview Ln N, Maple Grove, MN 55369-5546
Phone: (763) 424-9202

Authorised official

Name: Genie Kuble
Title: Contact Officer
Phone: (920) 450-0157

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X

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Registry record

NPI: 1205204146
Entity type: Organization
NPI issued: 9 Sep 2015
Record last updated: 9 Sep 2015

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.