| Midwest Dental | |
|
1625 Lena Ct Suite 100 Eagan MN 55122-2959 | |
| (651) 452-4111 | |
| (651) 452-8824 |
| Full Name | Midwest Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1625 Lena Ct, Eagan, 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 |
|---|---|
| Midwest Dental 1625 Lena Ct Suite 100 Eagan MN 55122-2959 Ph: (651) 452-4111 | Midwest Dental 1625 Lena Ct Suite 100 Eagan MN 55122-2959 Ph: (651) 452-4111 |
| NPI Number | 1710357520 |
|---|---|
| Provider Enumeration Date | 10/06/2015 |
| Last Update Date | 10/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710357520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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