Modern Dental Professionals Minnesota PC

NPI #1861714792 in Hastings, Minnesota

Provider Information

NPI Number: 1861714792
Entity Type: Organization
Organization Name: Modern Dental Professionals Minnesota PC
Primary Specialty: Dentist
Enumeration Date: Feb 19, 2010
Last Updated: Feb 19, 2010

Practice Location

Address: 925 HIGHWAY 55
Address 2: SUITE #102
City: Hastings
State: Minnesota
ZIP Code: 55033-3734
Phone: (651) 437-7844

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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