| Modern Dental Professionals, Mn Pc | |
|
20700 Chippendale Ave W Suite 10 Farmington MN 55024-8207 | |
| (651) 315-8229 | |
| (651) 571-0142 |
| Full Name | Modern Dental Professionals, Mn Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 20700 Chippendale Ave W, Farmington, Minnesota |
| Authorized Official Name and Position | Elizabeth Rydell (GENERAL DENTIST) |
| Authorized Official Contact | 7159265050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Dental Professionals, Mn Pc 20700 Chippendale Ave W Suite 10 Farmington MN 55024-8207 Ph: (651) 315-8229 | Modern Dental Professionals, Mn Pc 20700 Chippendale Ave W Suite 10 Farmington MN 55024-8207 Ph: (651) 315-8229 |
| NPI Number | 1770939613 |
|---|---|
| Provider Enumeration Date | 05/10/2016 |
| Last Update Date | 05/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770939613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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