Modern Dental Professionals Minnesota PC
NPI #1730539362 in Maple Plain, Minnesota
Provider Information
- NPI Number
- 1730539362
- Entity Type
- Organization
- Organization Name
- Modern Dental Professionals Minnesota PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 14, 2016
- Last Updated
- Jun 14, 2016
Practice Location
- Address
- 1400 BAKER PARK RD
- Address 2
- SUITE 1040
- City
- Maple Plain
- State
- Minnesota
- ZIP Code
- 55359-9851
- Phone
- (763) 402-7003
Authorized Official
- Name
- DR. JEFFREY MOOS, DDS
- Title
- PC OWNER
- Phone
- (715) 926-5050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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| DR. Kathryn Elizabeth Kramer, DDS | |
| MR. Michael J Fasbender, DDS | |
| DR. Franz Leigh Sattler, DDS | |
| DR. William Howard Stackpole, DDS | |
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