Midwest Dental | |
15594 Pilot Knob Rd Suite 100 Apple Valley MN 55124-7295 | |
(651) 419-3840 | |
(952) 423-1978 |
Full Name | Midwest Dental |
---|---|
Speciality | Dentist - General Practice |
Location | 15594 Pilot Knob Rd, Apple Valley, Minnesota |
Authorized Official Name and Position | Jeffrey Moos (OWNER) |
Authorized Official Contact | 7158292791 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Midwest Dental 15594 Pilot Knob Rd Suite 100 Apple Valley MN 55124-7295 Ph: (651) 419-3840 | Midwest Dental 15594 Pilot Knob Rd Suite 100 Apple Valley MN 55124-7295 Ph: (651) 419-3840 |
NPI Number | 1235509084 |
---|---|
Provider Enumeration Date | 10/05/2015 |
Last Update Date | 10/05/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235509084 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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