| NPI | 1003062084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT CASSIDY President 952-935-5212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D9306) |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2008-08-11 |