Organization
MODERN DENTAL PROFESSIONALS MINNESOTA PC
Active
Other names
Midwest Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MYER (CFO)
(715) 926-5050
Entity
Organization
Contact information
Practice address
1121 TOWN CENTRE DR, #200, EAGAN, MN 55123-1199
(651) 454-4771
(651) 406-9298
Mailing address
1121 TOWN CENTRE DR, #200, EAGAN, MN 55123-1199
(651) 454-4771
(651) 406-9298
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
MN
Other
Enumeration date
03/09/2011
Last updated
03/09/2011
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