Modern Dental Professionals Mn PC

NPI #1487805925 in Hinckley, Minnesota

Provider Information

NPI Number: 1487805925
Entity Type: Organization
Organization Name: Modern Dental Professionals Mn PC
Primary Specialty: Dentist
Enumeration Date: Oct 2, 2008
Last Updated: Oct 2, 2008

Practice Location

Address: 302 FIRE MONUMENT RD
City: Hinckley
State: Minnesota
ZIP Code: 55037-8350
Phone: (320) 384-6118

Authorized Official

Name: MS. LORI J PELKE
Title: PROFESSIONAL SERVICES
Phone: (715) 926-5050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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