Modern Dental Professionals, Minnesota PC
NPI #1952546160 in South Saint Paul, Minnesota
Provider Information
- NPI Number
- 1952546160
- Entity Type
- Organization
- Organization Name
- Modern Dental Professionals, Minnesota PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 3, 2008
- Last Updated
- Dec 3, 2008
Practice Location
- Address
- 680 SOUTHVIEW BLVD.
- City
- South Saint Paul
- State
- Minnesota
- ZIP Code
- 55075
- Phone
- (651) 455-2297
Authorized Official
- Name
- LORI J PELKE
- Title
- PROFESSIONAL SERVICES
- Phone
- (715) 926-5050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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