Modern Dental Professionals, Mn PC

NPI #1679853451 in Renville, Minnesota

Provider Information

NPI Number
1679853451
Entity Type
Organization
Organization Name
Modern Dental Professionals, Mn PC
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 24, 2011
Last Updated
Aug 24, 2011

Practice Location

Address
107 DUPONT AVE NW
ZIP Code
56284
Phone
(715) 926-5050

Authorized Official

Name
JAMES MYER
Title
CFO
Phone
(715) 926-5050

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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