| Mallinger Dental Pllc | |
|
8900 Penn Ave So Suite 100 Bloomington MN 55431 | |
| (952) 881-1154 | |
| (952) 884-2055 |
| Full Name | Mallinger Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 8900 Penn Ave So, Bloomington, Minnesota |
| Authorized Official Name and Position | Michael Delyle Mallinger (OWNER DENTIST) |
| Authorized Official Contact | 9528811154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mallinger Dental Pllc 8900 Penn Ave So Suite 100 Bloomington MN 55431 Ph: (952) 881-1154 | Mallinger Dental Pllc 8900 Penn Ave So Suite 100 Bloomington MN 55431 Ph: (952) 881-1154 |
| NPI Number | 1528150877 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528150877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9530 (Minnesota) | Primary |
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