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Organization
DANIEL L. MENGEDOTH, DDS LTD
Active
Organization
DANIEL L. MENGEDOTH, DDS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL L MENGEDOTH D.D.S. (CEO)
(218) 236-7076
Entity
Organization
Contact information
Practice address
2121 HIGHWAY 10 E, MOORHEAD, MN 56560-2559
(218) 236-7076
(218) 236-4999
Mailing address
2121 HIGHWAY 10 E, MOORHEAD, MN 56560-2559
(218) 236-7076
(218) 236-4999
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11185
MN
Other
Enumeration date
08/07/2006
Last updated
12/03/2013
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