| Midwest Dental | |
|
203 E Main St Suite A Melrose MN 56352-4524 | |
| (320) 256-4267 | |
| (320) 256-4167 |
| Full Name | Midwest Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 203 E Main St, Melrose, Minnesota |
| Authorized Official Name and Position | Jeffrey W Moos (OWNER) |
| Authorized Official Contact | 7159265050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Dental 203 E Main St Suite A Melrose MN 56352-4524 Ph: (320) 256-4267 | Midwest Dental 203 E Main St Suite A Melrose MN 56352-4524 Ph: (320) 256-4267 |
| NPI Number | 1710309075 |
|---|---|
| Provider Enumeration Date | 01/06/2014 |
| Last Update Date | 01/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710309075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Minnesota) | Primary |
Melrose Dental Office Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 E Main St, Suite A, Melrose, MN 56352 Phone: 320-256-4267 Fax: 320-256-4167 |