Daniel L. Mengedoth, DDS Ltd

NPI #1942219852 in Moorhead, Minnesota

Provider Information

NPI Number: 1942219852
Entity Type: Organization
Organization Name: Daniel L. Mengedoth, DDS Ltd
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 7, 2006
Last Updated: Dec 3, 2013

Practice Location

Address: 2121 HIGHWAY 10 E
City: Moorhead
State: Minnesota
ZIP Code: 56560-2559
Phone: (218) 236-7076

Authorized Official

Name: DR. DANIEL L MENGEDOTH, D.D.S.
Title: CEO
Phone: (218) 236-7076

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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