Modern Dental LLC
NPI #1427309707 in Minot, North Dakota
Provider Information
- NPI Number
- 1427309707
- Entity Type
- Organization
- Organization Name
- Modern Dental LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Sep 26, 2012
- Last Updated
- Sep 26, 2012
Practice Location
- Address
- 600 22ND AVE NW
- City
- Minot
- State
- North Dakota
- ZIP Code
- 58703-0986
- Phone
- (701) 839-2372
Authorized Official
- Name
- CHRISTIAN D MELAND, DDS
- Title
- PRESIDENT
- Phone
- (701) 839-2372
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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