Mondale Dental LLC

NPI #1053834481 in Plymouth, Minnesota

Provider Information

NPI Number: 1053834481
Entity Type: Organization
Organization Name: Mondale Dental LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 18, 2017
Last Updated: Jul 30, 2024

Practice Location

Address: 10600 OLD COUNTY RD 15
Address 2: SUITE 120
City: Plymouth
State: Minnesota
ZIP Code: 55441-6205
Phone: (763) 512-8500

Authorized Official

Name: MR. BRIAN PATRICK MONDALE, D.D.S.
Title: OWNER SOLE MEMBER
Phone: (763) 512-8500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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