| NPI | 1003316852 |
|---|---|
| Doing Business As | MINNESOTA HEAD & NECK PAIN CLINIC |
| Entity Type | Organization |
| Authorized Contact | TIA A REICHERT Chro/Clinic Admin 763-577-2484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X2210X Dentist, Orofacial Pain |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2024-07-17 |