Mendota Dental Associates
NPI #1760667091 in Mendota Heights, Minnesota
Provider Information
- NPI Number
- 1760667091
- Entity Type
- Organization
- Organization Name
- Mendota Dental Associates
- Primary Specialty
- Dentist
- Enumeration Date
- Jan 6, 2008
- Last Updated
- Jan 6, 2008
Practice Location
- Address
- 720 MAIN ST
- Address 2
- SUITE 213
- City
- Mendota Heights
- State
- Minnesota
- ZIP Code
- 55118-3757
- Phone
- (651) 454-1502
Authorized Official
- Name
- MR. MICHAEL D MALLINGER, DDS
- Title
- OWNER
- Phone
- (763) 226-1784
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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