| Midwest Dental | |
|
15594 Pilot Knob Rd Suite 100 Apple Valley MN 55124-7295 | |
| (651) 419-3840 | |
| (952) 423-1978 |
| Full Name | Midwest Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15594 Pilot Knob Rd, Apple Valley, Minnesota |
| Authorized Official Name and Position | Jeffrey Moos (OWNER) |
| Authorized Official Contact | 7158292791 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Dental 15594 Pilot Knob Rd Suite 100 Apple Valley MN 55124-7295 Ph: (651) 419-3840 | Midwest Dental 15594 Pilot Knob Rd Suite 100 Apple Valley MN 55124-7295 Ph: (651) 419-3840 |
| NPI Number | 1235509084 |
|---|---|
| Provider Enumeration Date | 10/05/2015 |
| Last Update Date | 10/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235509084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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