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1730788498
MODERN DENTAL PROFESSIONALS
BLAINE, MN
NPI
1730788498
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Entity Type
Organization
Authorized Contact
BRENT ALTHOFF
Credentialing Manager
715-203-4689
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2020-10-22
Last Update Date
2020-10-22
Business Address
MODERN DENTAL PROFESSIONALS
676 COUNTY ROAD 10 NE
BLAINE, MN 55434-2329
Phone number: 763-780-5007
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Mailing Address
MODERN DENTAL PROFESSIONALS
676 COUNTY ROAD 10 NE
BLAINE, MN 55434-2329
Phone number: 763-780-5007
Copy
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