Mdo Periodontics PA
NPI #1558516369 in Sartell, Minnesota
Provider Information
- NPI Number
- 1558516369
- Entity Type
- Organization
- Organization Name
- Mdo Periodontics PA
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Nov 20, 2008
- Last Updated
- Nov 20, 2008
Practice Location
Authorized Official
- Name
- MICHELLE GRUNDHOEFER
- Title
- OFFICE MANAGER
- Phone
- (320) 240-9028
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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