Matthew P Dale DDS PA
NPI #1124230800 in Maple Grove, Minnesota
Provider Information
- NPI Number
- 1124230800
- Entity Type
- Organization
- Organization Name
- Matthew P Dale DDS PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 4, 2007
- Last Updated
- Aug 13, 2014
Practice Location
- Address
- 13998 MAPLE KNOLL WAY # LL103
- City
- Maple Grove
- State
- Minnesota
- ZIP Code
- 55369-7004
- Phone
- (763) 425-2072
Authorized Official
- Name
- DR. MATTHEW PATRICK DALE, DDS
- Title
- PRESIDENT
- Phone
- (763) 245-2072
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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