| Modern Dental Professionals Minnesota Pc | |
|
2010 27th Ave S Minneapolis MN 55406-1108 | |
| (612) 336-8478 | |
| Not Available |
| Full Name | Modern Dental Professionals Minnesota Pc |
|---|---|
| Speciality | Dentist |
| Location | 2010 27th Ave S, Minneapolis, Minnesota |
| Authorized Official Name and Position | Brent Althoff (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7152034689 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Dental Professionals Minnesota Pc 2010 27th Ave S Minneapolis MN 55406-1108 Ph: (612) 336-8478 | Modern Dental Professionals Minnesota Pc 2010 27th Ave S Minneapolis MN 55406-1108 Ph: (612) 336-8478 |
| NPI Number | 1447860523 |
|---|---|
| Provider Enumeration Date | 08/04/2020 |
| Last Update Date | 08/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447860523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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