Midwest Dental | |
931 Whitewater Ave Saint Charles MN 55972-1130 | |
(507) 932-4530 | |
Not Available |
Full Name | Midwest Dental |
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Speciality | Dentist |
Location | 931 Whitewater Ave, Saint Charles, Minnesota |
Authorized Official Name and Position | Lori Pelke (PROFESSIONAL SERVICES COORDINATOR) |
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 680 Hehli Way Mondovi WI 54755-1639 Ph: (715) 926-5050 | Midwest Dental 931 Whitewater Ave Saint Charles MN 55972-1130 Ph: (507) 932-4530 |
NPI Number | 1023250503 |
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Provider Enumeration Date | 03/31/2009 |
Last Update Date | 03/31/2009 |
Identifier | Type | State | Issuer |
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1023250503 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |