MARK JOHN MODJEAN

RICHFIELD, MN
NPI1275802092
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: MN  8439)
Enumeration Date2011-12-22
Last Update Date2011-12-22
Business Address
-- MARK JOHN MODJEAN DDS
7001 NICOLLET AVE
RICHFIELD, MN 55423-3162
Phone number: 612-866-3322
Mailing Address
-- MARK JOHN MODJEAN DDS
7001 NICOLLET AVE
RICHFIELD, MN 55423-3162
Phone number: 612-866-3322
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