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Organization
MODERN DENTAL PROFESSIONALS, MN PC
Active
Organization
MODERN DENTAL PROFESSIONALS, MN PC
Active
Other names
Midwest Dental Farmington
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH RYDELL DDS (GENERAL DENTIST)
(715) 926-5050
Entity
Organization
Contact information
Practice address
20700 CHIPPENDALE AVE W, SUITE 10, FARMINGTON, MN 55024-8207
(651) 315-8229
(651) 571-0142
Mailing address
20700 CHIPPENDALE AVE W, SUITE 10, FARMINGTON, MN 55024-8207
(651) 315-8229
(651) 571-0142
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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