Minnesota Oral And Maxillofacial Surgeons | |
1511 Northway Drive Suite 103 St. Cloud MN 56303 | |
(320) 240-0927 | |
Not Available |
Full Name | Minnesota Oral And Maxillofacial Surgeons |
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Speciality | Dentist |
Location | 1511 Northway Drive, St. Cloud, Minnesota |
Authorized Official Name and Position | Mohamed El Deeb (OWNER/PRESIDENT) |
Authorized Official Contact | 3202400927 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Minnesota Oral And Maxillofacial Surgeons 1511 Northway Drive Suite 103 St. Cloud MN 56303 Ph: () - | Minnesota Oral And Maxillofacial Surgeons 1511 Northway Drive Suite 103 St. Cloud MN 56303 Ph: (320) 240-0927 |
NPI Number | 1154519338 |
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Provider Enumeration Date | 10/12/2007 |
Last Update Date | 10/01/2008 |
Identifier | Type | State | Issuer |
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1154519338 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |
Nemeth Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3131 N 12th St, St. Cloud, MN 56303 Phone: 320-253-4981 Fax: 320-253-6268 |