Allied Endodontic Specialists, P.a.
NPI #1811163314 in Maple Grove, Minnesota
Provider Information
- NPI Number
- 1811163314
- Entity Type
- Organization
- Organization Name
- Allied Endodontic Specialists, P.a.
- Primary Specialty
- Dentist - Endodontics
- Enumeration Date
- May 5, 2008
- Last Updated
- May 5, 2008
Practice Location
- Address
- 14040 81ST AVE N
- City
- Maple Grove
- State
- Minnesota
- ZIP Code
- 55311-2250
- Phone
- (763) 657-1502
Authorized Official
- Name
- DR. GERALD C ANDERSON
- Title
- PRESIDENT
- Phone
- (763) 657-1502
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Endodontics — Endodontics |
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