| Metropolitan Periodontists | |
|
825 Nicollet Mall Ste. 210 Minneapolis MN 55402-2618 | |
| (612) 332-0869 | |
| (612) 332-2891 |
| Full Name | Metropolitan Periodontists |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 825 Nicollet Mall, Minneapolis, Minnesota |
| Authorized Official Name and Position | Mark Wilson (DENTIST) |
| Authorized Official Contact | 6123320869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Metropolitan Periodontists 825 Nicollet Mall Ste. 210 Minneapolis MN 55402-2618 Ph: (612) 332-0869 | Metropolitan Periodontists 825 Nicollet Mall Ste. 210 Minneapolis MN 55402-2618 Ph: (612) 332-0869 |
| NPI Number | 1669199741 |
|---|---|
| Provider Enumeration Date | 10/20/2022 |
| Last Update Date | 10/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669199741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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