| Mark J Modjean Dds Pa | |
|
7001 Nicollet Ave S Richfield MN 55423-3162 | |
| (612) 866-3322 | |
| Not Available |
| Full Name | Mark J Modjean Dds Pa |
|---|---|
| Speciality | Dentist |
| Location | 7001 Nicollet Ave S, Richfield, Minnesota |
| Authorized Official Name and Position | Mark John Modjean (PRES) |
| Authorized Official Contact | 6128663322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark J Modjean Dds Pa 7001 Nicollet Ave S Richfield MN 55423-3162 Ph: (612) 866-3322 | Mark J Modjean Dds Pa 7001 Nicollet Ave S Richfield MN 55423-3162 Ph: (612) 866-3322 |
| NPI Number | 1538140934 |
|---|---|
| Provider Enumeration Date | 11/11/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538140934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8439 (Minnesota) | Primary |
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