| Midwest Dental - Waconia | |
|
24 S Olive St Waconia MN 55387-1404 | |
| (952) 442-2518 | |
| (952) 442-5040 |
| Full Name | Midwest Dental - Waconia |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 24 S Olive St, Waconia, Minnesota |
| Authorized Official Name and Position | Jeffrey W Moos (PRESIDENT - CEO) |
| Authorized Official Contact | 7159265050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Dental - Waconia 24 S Olive St Waconia MN 55387-1404 Ph: (952) 442-2518 | Midwest Dental - Waconia 24 S Olive St Waconia MN 55387-1404 Ph: (952) 442-2518 |
| NPI Number | 1679866735 |
|---|---|
| Provider Enumeration Date | 05/24/2011 |
| Last Update Date | 05/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679866735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Kruckman Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 141 Depot Dr, Waconia, MN 55387 Phone: 952-679-4461 | |
Oms Specialists Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 490 S Maple St Ste 102, Waconia, MN 55387 Phone: 952-442-5448 Fax: 952-442-5496 | |
Regarding Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 732 Vista Blvd., Waconia, MN 55387 Phone: 952-442-2816 Fax: 952-442-2821 |