| Modern Care Endodontics Of Apple Valley | |
|
15160 Foliage Ave Ste 100 Apple Valley MN 55124-5916 | |
| (952) 920-4400 | |
| Not Available |
| Full Name | Modern Care Endodontics Of Apple Valley |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 15160 Foliage Ave Ste 100, Apple Valley, Minnesota |
| Authorized Official Name and Position | Jay David Simonton (OWNER) |
| Authorized Official Contact | 9529204400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Care Endodontics Of Apple Valley 15160 Foliage Ave Ste 100 Apple Valley MN 55124-5916 Ph: (952) 920-4400 | Modern Care Endodontics Of Apple Valley 15160 Foliage Ave Ste 100 Apple Valley MN 55124-5916 Ph: (952) 920-4400 |
| NPI Number | 1780236539 |
|---|---|
| Provider Enumeration Date | 07/11/2019 |
| Last Update Date | 07/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780236539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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