Midwest Dental | |
1853 Main St Centerville MN 55038-9794 | |
(651) 653-3272 | |
(651) 653-3272 |
Full Name | Midwest Dental |
---|---|
Speciality | Dentist |
Location | 1853 Main St, Centerville, Minnesota |
Authorized Official Name and Position | Jeffrey Moos (PRESIDENT) |
Authorized Official Contact | 7159265050 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Midwest Dental 1853 Main St Centerville MN 55038-9794 Ph: (651) 653-3272 | Midwest Dental 1853 Main St Centerville MN 55038-9794 Ph: (651) 653-3272 |
NPI Number | 1104147735 |
---|---|
Provider Enumeration Date | 06/17/2010 |
Last Update Date | 06/17/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104147735 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |