Organization
MODERN DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN D MELAND DDS (PRESIDENT)
(701) 839-2372
Entity
Organization
Contact information
Practice address
600 22ND AVE NW, MINOT, ND 58703-0986
(701) 839-2372
Mailing address
600 22ND AVE NW, MINOT, ND 58703-0986
(701) 839-2372
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2128
ND
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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