Michael C. Mardell, D.D.S.

NPI #1164504437 in Rosemount, Minnesota

Provider Information

NPI Number: 1164504437
Entity Type: Individual
Name: Michael C. Mardell, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Oct 19, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 14470 CAMEO AVE W
City: Rosemount
State: Minnesota
ZIP Code: 55068-4025
Phone: (651) 423-2259

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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