Maize LLC

NPI #1407362205 in Maplewood, Minnesota

Provider Information

NPI Number
1407362205
Entity Type
Organization
Organization Name
Maize LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Dec 17, 2017
Last Updated
Dec 17, 2017

Practice Location

Address
1975 11TH AVE E
ZIP Code
55109-5148
Phone
(651) 770-2900

Authorized Official

Name
DR. ALEXIS SIMONSON, DDS
Title
OWNER
Phone
(612) 735-4818

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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