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COON RAPIDS MODERN DENTISTRY, PC

Organization (NPI-2) Active

Dentist

Provider Information

NPI Number
1295431138
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
3320 124TH AVE NW, COON RAPIDS, MN, 554331001
Phone
(763) 290-6623

Specialties & Taxonomies

Dentist Primary

All Addresses

MAILING

PO BOX 920050

DALLAS, TX, 753920050

LOCATION

3320 124TH AVE NW

COON RAPIDS, MN, 554331001

(763) 290-6623