| Modern Dental Professionals Minnesota Pc | |
|
150 3rd St Nw Wells MN 56097-1021 | |
| (507) 553-5085 | |
| (507) 553-5948 |
| Full Name | Modern Dental Professionals Minnesota Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 150 3rd St Nw, Wells, Minnesota |
| Authorized Official Name and Position | Jeffrey W. Moos (CEO) |
| 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 150 3rd St Nw Wells MN 56097-1021 Ph: (507) 553-5085 | Modern Dental Professionals Minnesota Pc 150 3rd St Nw Wells MN 56097-1021 Ph: (507) 553-5085 |
| NPI Number | 1316216377 |
|---|---|
| Provider Enumeration Date | 12/21/2011 |
| Last Update Date | 12/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316216377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |