| Modern Dental Professionals, Minnesota Pc | |
|
931 Whitewater Ave Saint Charles MN 55972-1130 | |
| (507) 932-4530 | |
| Not Available |
| Full Name | Modern Dental Professionals, Minnesota Pc |
|---|---|
| Speciality | Dentist |
| Location | 931 Whitewater Ave, Saint Charles, Minnesota |
| Authorized Official Name and Position | Lori Pelke (PROFESSIONAL SERVICES COORDINATOR) |
| 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 680 Hehli Way Mondovi WI 54755-1639 Ph: (715) 926-5050 | Modern Dental Professionals, Minnesota Pc 931 Whitewater Ave Saint Charles MN 55972-1130 Ph: (507) 932-4530 |
| NPI Number | 1023250503 |
|---|---|
| Provider Enumeration Date | 03/31/2009 |
| Last Update Date | 03/31/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023250503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |