MODERN DENTAL PROFESSIONALS MINNESOTA PC

Dentist - General Practice

Active Organization
NPI: 1043589484

Practice Address

29663 GATEWAY AVE
Chisago City, MN 55013

Phone: (651) 257-3639

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes -

Frequently Asked Questions

NPI 1043589484 is the National Provider Identifier for MODERN DENTAL PROFESSIONALS MINNESOTA PC, a Dentist - General Practice provider located in Chisago City, MN. This NPI was enumerated on December 14, 2011.

Quick Facts

NPI
1043589484
Type
Organization
Enumerated
Dec 14, 2011
Last Updated
Dec 14, 2011

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