| Modern Dental Professionals, Mn Pc | |
|
7532 Brooklyn Blvd Brooklyn Park MN 55443-3101 | |
| (763) 280-5737 | |
| (763) 560-1625 |
| Full Name | Modern Dental Professionals, Mn Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7532 Brooklyn Blvd, Brooklyn Park, Minnesota |
| Authorized Official Name and Position | Jeffrey W Moos (OWNER) |
| Authorized Official Contact | 7158292791 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Dental Professionals, Mn Pc 7532 Brooklyn Blvd Brooklyn Park MN 55443-3101 Ph: (763) 280-5737 | Modern Dental Professionals, Mn Pc 7532 Brooklyn Blvd Brooklyn Park MN 55443-3101 Ph: (763) 280-5737 |
| NPI Number | 1710358379 |
|---|---|
| Provider Enumeration Date | 10/08/2015 |
| Last Update Date | 10/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710358379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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