Modern Dental Professionals, Mn PC
NPI #1003286808 in Coon Rapids, Minnesota
Provider Information
- NPI Number
- 1003286808
- Entity Type
- Organization
- Organization Name
- Modern Dental Professionals, Mn PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 6, 2015
- Last Updated
- Oct 6, 2015
Practice Location
- Address
- 2147 NORTHDALE BLVD NW
- Address 2
- NWOOD
- City
- Coon Rapids
- State
- Minnesota
- ZIP Code
- 55433-3006
- Phone
- (763) 767-4888
Authorized Official
- Name
- JEFFREY W MOOS, DDS
- Title
- OWNER
- Phone
- (715) 829-2791
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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