Modern Dental Professionals Minnesota PC

NPI #1205286960 in Red Wing, Minnesota

Provider Information

NPI Number
1205286960
Entity Type
Organization
Organization Name
Modern Dental Professionals Minnesota PC
Primary Specialty
Dentist
Enumeration Date
Jun 14, 2016
Last Updated
Jun 14, 2016

Practice Location

Address
315 EAST AVE STE 1
ZIP Code
55066-2567
Phone
(651) 388-1147

Authorized Official

Name
DR. JEFFREY MOOS, DDS
Title
OWNER
Phone
(715) 926-5050

Specialties & Taxonomy Codes

Specialty
Dentist

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