Matthew Patrick Dale, DDS Valid NPI

Individual provider · General Practice Dentistry · Rogers, MN

NPI

1003028861

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

D10980 (MN)

Sex

Male

Sole proprietor

No

Enumerated

2007-05-04

Last updated

2019-07-03