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
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 PracticeGeneral Practice

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