| Peter H Mielke Dds Pediatric Dentistry | |
|
1675 Beam Ave Ste 202 Maplewood MN 55109-1479 | |
| (651) 779-9002 | |
| Not Available |
| Full Name | Peter H Mielke Dds Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1675 Beam Ave Ste 202, Maplewood, Minnesota |
| Authorized Official Name and Position | Peter Hermann Mielke (PEDODONTIST) |
| Authorized Official Contact | 6517799002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter H Mielke Dds Pediatric Dentistry 1675 Beam Ave Ste 202 Maplewood MN 55109-1479 Ph: (651) 779-9002 | Peter H Mielke Dds Pediatric Dentistry 1675 Beam Ave Ste 202 Maplewood MN 55109-1479 Ph: (651) 779-9002 |
| NPI Number | 1184895351 |
|---|---|
| Provider Enumeration Date | 03/17/2008 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184895351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (Minnesota) | Primary |
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