Organization · Type 2 NPI

Modern Dental Professionals, Minnesota PC

General Practice Dentistry · St. Louis Park, MN

NPI number 1821356502 Active

About NPI 1821356502

Modern Dental Professionals, Minnesota PC's National Provider Identifier is 1821356502, issued on May 1, 2012. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in St. Louis Park, MN. The record was last updated on May 1, 2012.