| Midwest Dental | |
|
6563 Laketowne Pl Unit A Albertville MN 55301-4510 | |
| (763) 493-3600 | |
| (763) 493-3602 |
| Full Name | Midwest Dental |
|---|---|
| Speciality | Dentist |
| Location | 6563 Laketowne Pl, Albertville, Minnesota |
| Authorized Official Name and Position | Jeffrey William Moos (CEO) |
| Authorized Official Contact | 7159265050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Dental 6563 Laketowne Pl Unit A Albertville MN 55301-4510 Ph: (763) 493-3600 | Midwest Dental 6563 Laketowne Pl Unit A Albertville MN 55301-4510 Ph: (763) 493-3600 |
| NPI Number | 1275716474 |
|---|---|
| Provider Enumeration Date | 12/11/2007 |
| Last Update Date | 12/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275716474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D11386 (Minnesota) | Primary |
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