Molldrem Family Dentistry

NPI #1326173279 in Eden Prairie, Minnesota

Provider Information

NPI Number: 1326173279
Entity Type: Organization
Organization Name: Molldrem Family Dentistry
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 22, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 800 PRAIRIE CENTER DR
Address 2: SUITE 250
City: Eden Prairie
State: Minnesota
ZIP Code: 55344-7328
Phone: (952) 974-5116

Authorized Official

Name: DR. KEVIN DANIEL MOLLDREM, DDS
Title: OWNER
Phone: (952) 974-5116

Specialties & Taxonomy Codes

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

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