Maplewood Oral and Maxillofacial Surgery, P.a.

NPI #1003993304 in Woodbury, Minnesota

Provider Information

NPI Number
1003993304
Entity Type
Organization
Organization Name
Maplewood Oral and Maxillofacial Surgery, P.a.
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Nov 1, 2006
Last Updated
Nov 30, 2007

Practice Location

Address
9950 VALLEY CREEK RD STE 100
ZIP Code
55125-5803
Phone
(651) 578-7000

Authorized Official

Name
DR. MARSHALL L WADE, DDS
Title
VICE PRESIDENT
Phone
(651) 578-7000

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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