| Mg Dental | |
|
872 Highway 55 Ste 100 Medina MN 55340-9823 | |
| (763) 363-1006 | |
| Not Available |
| Full Name | Mg Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 872 Highway 55 Ste 100, Medina, Minnesota |
| Authorized Official Name and Position | Anupam Gatecha (OWNER) |
| Authorized Official Contact | 6127162656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mg Dental 872 Highway 55 Ste 100 Medina MN 55340-9823 Ph: (763) 363-1006 | Mg Dental 872 Highway 55 Ste 100 Medina MN 55340-9823 Ph: (763) 363-1006 |
| NPI Number | 1790521540 |
|---|---|
| Provider Enumeration Date | 07/02/2024 |
| Last Update Date | 07/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790521540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
All Smiles Dental Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 Clydesdale Trl, Medina, MN 55340 Phone: 952-239-5072 |