Midwest Dental | |
2147 Northdale Blvd Nw Nwood Coon Rapids MN 55433-3006 | |
(763) 767-4888 | |
(763) 767-4889 |
Full Name | Midwest Dental |
---|---|
Speciality | Dentist - General Practice |
Location | 2147 Northdale Blvd Nw, Coon Rapids, Minnesota |
Authorized Official Name and Position | Jeffrey W Moos (OWNER) |
Authorized Official Contact | 7158292791 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Midwest Dental 2147 Northdale Blvd Nw Nwood Coon Rapids MN 55433-3006 Ph: (763) 767-4888 | Midwest Dental 2147 Northdale Blvd Nw Nwood Coon Rapids MN 55433-3006 Ph: (763) 767-4888 |
NPI Number | 1003286808 |
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Provider Enumeration Date | 10/06/2015 |
Last Update Date | 10/06/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003286808 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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