| Modern Dental Professionals, Mn Pc | |
|
107 Dupont Ave Nw Renville MN 56284 | |
| (715) 926-5050 | |
| Not Available |
| Full Name | Modern Dental Professionals, Mn Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 107 Dupont Ave Nw, Renville, 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, Mn Pc 680 Hehli Way Mondovi WI 54755-1639 Ph: (320) 329-8321 | Modern Dental Professionals, Mn Pc 107 Dupont Ave Nw Renville MN 56284 Ph: (715) 926-5050 |
| NPI Number | 1679853451 |
|---|---|
| Provider Enumeration Date | 08/24/2011 |
| Last Update Date | 08/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679853451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Dean C. Lindquist, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Nw Dupont Ave, Renville, MN 56284 Phone: 320-329-8321 Fax: 320-329-8322 |