| Modern Dental Llc | |
|
600 22nd Ave Nw Minot ND 58703-0986 | |
| (701) 839-2372 | |
| Not Available |
| Full Name | Modern Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 600 22nd Ave Nw, Minot, North Dakota |
| Authorized Official Name and Position | Christian D Meland (PRESIDENT) |
| Authorized Official Contact | 7018392372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Dental Llc 600 22nd Ave Nw Minot ND 58703-0986 Ph: (701) 839-2372 | Modern Dental Llc 600 22nd Ave Nw Minot ND 58703-0986 Ph: (701) 839-2372 |
| NPI Number | 1427309707 |
|---|---|
| Provider Enumeration Date | 09/26/2012 |
| Last Update Date | 09/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427309707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2128 (North Dakota) | Primary |
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