Organization
MENDOTA DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL D MALLINGER DDS (OWNER)
(763) 226-1784
Entity
Organization
Contact information
Practice address
720 MAIN ST, SUITE 213, MENDOTA HEIGHTS, MN 55118-3757
(651) 454-1502
(651) 454-1504
Mailing address
720 MAIN ST, SUITE 213, MENDOTA HEIGHTS, MN 55118-3757
(651) 454-1502
(651) 454-1504
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9530
MN
Other
Enumeration date
01/06/2008
Last updated
01/06/2008
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