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Organization

MODERN DENTAL PROFESSIONALS MN PC

Active
Other names
Midwest Dental
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES MYER (CFO)
(715) 926-5050
Entity
Organization

Contact information

Practice address
200 VILLAGE CENTER DR, SUITE 400, NORTH OAKS, MN 55127-7090
(651) 631-2133
Mailing address
200 VILLAGE CENTER DR, SUITE 400, NORTH OAKS, MN 55127-7090
(651) 631-2133

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
04/12/2010
Last updated
04/12/2010
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