MODERN DENTAL PROFESSIONALS

BLAINE, MN
NPI1730788498
Entity TypeOrganization
Authorized ContactBRENT ALTHOFF
Credentialing Manager
715-203-4689
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
Enumeration Date2020-10-22
Last Update Date2020-10-22
Business Address
MODERN DENTAL PROFESSIONALS
676 COUNTY ROAD 10 NE
BLAINE, MN 55434-2329
Phone number: 763-780-5007
Mailing Address
MODERN DENTAL PROFESSIONALS
676 COUNTY ROAD 10 NE
BLAINE, MN 55434-2329
Phone number: 763-780-5007