Cedar Island Dental
NPI #1619259181 in Maple Grove, Minnesota
Provider Information
- NPI Number
- 1619259181
- Entity Type
- Organization
- Organization Name
- Cedar Island Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 12, 2011
- Last Updated
- Sep 12, 2011
Practice Location
- Address
- 7378 KIRKWOOD CT N
- City
- Maple Grove
- State
- Minnesota
- ZIP Code
- 55369-5270
- Phone
- (763) 391-7600
Authorized Official
- Name
- GENIE KUBLE
- Title
- CONTACT OFFICER
- Phone
- (920) 450-0157
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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