123 BRUSH DENTAL LLC is a dental clinic center in Maplewood, MN. 123 BRUSH DENTAL LLC NPI is 1053807016. The provider is registered as an organization entity type.
The provider's business location address is:
1670 BEAM AVE
STE 202
MAPLEWOOD, MN
ZIP 55109
Phone: (651) 779-4195
The provider's authorized official is Vacharee Sriswad Peterson .
The authorized official title is Dentist and has the following contact phone number (651) 779-4195.
The enumeration date for this NPI number is 7/2/2018 and was last updated on 7/2/2018.