Midwest Dental - St. Cloud | |
4140 Thielman Ln Suite 302 Saint Cloud MN 56301-7326 | |
(320) 252-7752 | |
(320) 252-2289 |
Full Name | Midwest Dental - St. Cloud |
---|---|
Speciality | Dentist |
Location | 4140 Thielman Ln, Saint Cloud, Minnesota |
Authorized Official Name and Position | James Myer (CFO) |
Authorized Official Contact | 7159265050 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Midwest Dental - St. Cloud 4140 Thielman Ln Suite 302 Saint Cloud MN 56301-7326 Ph: (320) 252-7752 | Midwest Dental - St. Cloud 4140 Thielman Ln Suite 302 Saint Cloud MN 56301-7326 Ph: (320) 252-7752 |
NPI Number | 1558643817 |
---|---|
Provider Enumeration Date | 09/13/2011 |
Last Update Date | 09/13/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558643817 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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