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Mark Modjean, DDS
NPI 1275802092 · on the registry since 2011 · sole proprietor
Practice
- Address
- 7001 Nicollet Ave
Richfield, MN 55423 - Phone
- (612) 866-3322
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-12-22
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