DR. Roger Alan Mondale, D.D S.

NPI #1023170248 in Plymouth, Minnesota

Provider Information

NPI Number
1023170248
Entity Type
Individual
Name
DR. Roger Alan Mondale, D.D S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D S.
Enumeration Date
Dec 14, 2006
Last Updated
Dec 16, 2009

Practice Location

Address
10600 OLD COUNTY RD. 15
Address 2
SUITE 120
ZIP Code
55441
Phone
(763) 512-8500

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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