| Midwest Dental | |
|
2059 Robert St S West Saint Paul MN 55118-3924 | |
| (651) 457-9633 | |
| (651) 457-3849 |
| Full Name | Midwest Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2059 Robert St S, West Saint Paul, Minnesota |
| Authorized Official Name and Position | Jeffrey W. Moos (CEO) |
| Authorized Official Contact | 7159265050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Dental 2059 Robert St S West Saint Paul MN 55118-3924 Ph: (651) 457-9633 | Midwest Dental 2059 Robert St S West Saint Paul MN 55118-3924 Ph: (651) 457-9633 |
| NPI Number | 1487940284 |
|---|---|
| Provider Enumeration Date | 06/21/2011 |
| Last Update Date | 06/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487940284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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