Midwest Dental | |
1121 Town Centre Dr #200 Eagan MN 55123-1199 | |
(651) 454-4771 | |
(651) 406-9298 |
Full Name | Midwest Dental |
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Speciality | Dentist - General Practice |
Location | 1121 Town Centre Dr, Eagan, Minnesota |
Authorized Official Name and Position | James Myer (CFO) |
Authorized Official Contact | 7159265050 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Midwest Dental 1121 Town Centre Dr #200 Eagan MN 55123-1199 Ph: (651) 454-4771 | Midwest Dental 1121 Town Centre Dr #200 Eagan MN 55123-1199 Ph: (651) 454-4771 |
NPI Number | 1255639696 |
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Provider Enumeration Date | 03/09/2011 |
Last Update Date | 03/09/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255639696 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (Minnesota) | Primary |
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