Dr. Jonathan C Moren, D.D.S.
Dentist, General Practice in Minneapolis, MN. Individual provider (NPI-1).
NPI number1710074638
StatusActive
Last updated in NPPESMay 22, 2018
Details
- NPI
- 1710074638
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jonathan C Moren
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 10, 2006
- Last updated
- May 22, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | MN9493 | MN | Yes |
Practice location
410 Church St SeMinneapolis, MN 55455
Phone 612-625-5430 · Fax 612-625-0539
Mailing address
4940 Viking Dr Ste 127Edina, MN 55435-5306
Phone 952-835-3383 · Fax 952-835-2818
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