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1538140934
MARK J MODJEAN DDS PA
RICHFIELD, MN
NPI
1538140934
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Entity Type
Organization
Authorized Contact
MARK JOHN MODJEAN
Pres
612-866-3322
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MN 8439)
Enumeration Date
2005-11-11
Last Update Date
2020-08-22
Business Address
MARK J MODJEAN DDS PA
7001 NICOLLET AVE S
RICHFIELD, MN 55423-3162
Phone number: 612-866-3322
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Mailing Address
MARK J MODJEAN DDS PA
7001 NICOLLET AVE S
RICHFIELD, MN 55423-3162
Phone number: 612-866-3322
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