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Roger Mondale, D.D S

NPI 1023170248 · on the registry since 2006 · sole proprietor

Practice

Address: 10600 Old County Rd. 15
Suite 120
Plymouth, MN 55441
Phone: (763) 512-8500
Fax: (763) 512-8592
Organisation at this address: Mondale Dental Llc
Kennedy Vision Health Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: General Practice Dentistry
1223G0001X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-12-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota