| Midwest Dental | |
|
315 East Ave Ste 1 Red Wing MN 55066-2567 | |
| (651) 388-1147 | |
| (651) 388-1140 |
| Full Name | Midwest Dental |
|---|---|
| Speciality | Dentist |
| Location | 315 East Ave Ste 1, Red Wing, Minnesota |
| Authorized Official Name and Position | Jeffrey Moos (OWNER) |
| Authorized Official Contact | 7159265050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Dental 315 East Ave Ste 1 Red Wing MN 55066-2567 Ph: (651) 388-1147 | Midwest Dental 315 East Ave Ste 1 Red Wing MN 55066-2567 Ph: (651) 388-1147 |
| NPI Number | 1205286960 |
|---|---|
| Provider Enumeration Date | 06/14/2016 |
| Last Update Date | 06/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205286960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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