| Mendota Dental Associates | |
|
720 Main St Suite 213 Mendota Heights MN 55118-3757 | |
| (651) 454-1502 | |
| (651) 454-1504 |
| Full Name | Mendota Dental Associates |
|---|---|
| Speciality | Dentist |
| Location | 720 Main St, Mendota Heights, Minnesota |
| Authorized Official Name and Position | Michael D Mallinger (OWNER) |
| Authorized Official Contact | 7632261784 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mendota Dental Associates 720 Main St Suite 213 Mendota Heights MN 55118-3757 Ph: (651) 454-1502 | Mendota Dental Associates 720 Main St Suite 213 Mendota Heights MN 55118-3757 Ph: (651) 454-1502 |
| NPI Number | 1760667091 |
|---|---|
| Provider Enumeration Date | 01/06/2008 |
| Last Update Date | 01/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760667091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D9530 (Minnesota) | Primary |
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Mendota Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 720 Main St, Suite 213, Mendota Heights, MN 55118 Phone: 651-209-9219 Fax: 651-454-1405 | |
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