Organization
MODERN DENTAL PROFESSIONALS, MN PC
Active
Other names
Midwest Dental Farmington
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH RYDELL DDS (GENERAL DENTIST)
(715) 926-5050
Entity
Organization
Contact information
Practice address
20700 CHIPPENDALE AVE W, SUITE 10, FARMINGTON, MN 55024-8207
(651) 315-8229
(651) 571-0142
Mailing address
20700 CHIPPENDALE AVE W, SUITE 10, FARMINGTON, MN 55024-8207
(651) 315-8229
(651) 571-0142
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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