Modern Dental Professionals, Mn PC

NPI #1770939613 in Farmington, Minnesota

Provider Information

NPI Number
1770939613
Entity Type
Organization
Organization Name
Modern Dental Professionals, Mn PC
Primary Specialty
Dentist - General Practice
Enumeration Date
May 10, 2016
Last Updated
May 10, 2016

Practice Location

Address
20700 CHIPPENDALE AVE W
Address 2
SUITE 10
ZIP Code
55024-8207
Phone
(651) 315-8229

Authorized Official

Name
ELIZABETH RYDELL, DDS
Title
GENERAL DENTIST
Phone
(715) 926-5050

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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