Organization
M DENTAL PLLC
Active
Other names
North Shore Dental Ltd
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR J MCCOLLOUGH DMD (DENTIST)
(207) 332-0028
Entity
Organization
Contact information
Practice address
4707 E SUPERIOR ST, DULUTH, MN 55804-2339
(207) 332-0028
Mailing address
3531 E SUPERIOR ST, DULUTH, MN 55804-2043
(207) 332-0028
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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