Modern Dental Professionals, Mn PC

NPI #1295965572 in Zumbrota, Minnesota

Provider Information

NPI Number: 1295965572
Entity Type: Organization
Organization Name: Modern Dental Professionals, Mn PC
Primary Specialty: Dentist
Enumeration Date: Jul 21, 2009
Last Updated: Jul 21, 2009

Practice Location

Address: 379 S MAIN ST
City: Zumbrota
State: Minnesota
ZIP Code: 55992-1543
Phone: (507) 732-5346

Authorized Official

Name: DR. JEFFREY W. MOOS, DDS
Title: CEO
Phone: (715) 926-5050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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