| Modern Dental Professionals Minnesota Pc | |
|
530 West Pleasant Mankato MN 56001 | |
| (507) 345-6478 | |
| (507) 345-7414 |
| Full Name | Modern Dental Professionals Minnesota Pc |
|---|---|
| Speciality | Dentist |
| Location | 530 West Pleasant, Mankato, Minnesota |
| Authorized Official Name and Position | James Myer (CFO) |
| Authorized Official Contact | 7159265050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Dental Professionals Minnesota Pc 530 West Pleasant Mankato MN 56001 Ph: (507) 345-6478 | Modern Dental Professionals Minnesota Pc 530 West Pleasant Mankato MN 56001 Ph: (507) 345-6478 |
| NPI Number | 1912212606 |
|---|---|
| Provider Enumeration Date | 08/18/2010 |
| Last Update Date | 08/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912212606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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