Organization
MODERN DENTAL PROFESSIONALS MINNESOTA PC
Active
Other names
Midwest Dental - Wells
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY W. MOOS DDS (CEO)
(715) 926-5050
Entity
Organization
Contact information
Practice address
150 3RD ST NW, WELLS, MN 56097-1021
(507) 553-5085
(507) 553-5948
Mailing address
150 3RD ST NW, WELLS, MN 56097-1021
(507) 553-5085
(507) 553-5948
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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