| Midwest Dental - St. Cloud | |
|
4140 Thielman Ln Suite 302 Saint Cloud MN 56301-7326 | |
| (320) 252-7752 | |
| (320) 252-2289 |
| Full Name | Midwest Dental - St. Cloud |
|---|---|
| Speciality | Dentist |
| Location | 4140 Thielman Ln, Saint Cloud, 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 |
|---|---|
| Midwest Dental - St. Cloud 4140 Thielman Ln Suite 302 Saint Cloud MN 56301-7326 Ph: (320) 252-7752 | Midwest Dental - St. Cloud 4140 Thielman Ln Suite 302 Saint Cloud MN 56301-7326 Ph: (320) 252-7752 |
| NPI Number | 1558643817 |
|---|---|
| Provider Enumeration Date | 09/13/2011 |
| Last Update Date | 09/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558643817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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