| NPI | 1003886383 |
|---|---|
| Doing Business As | COMMUNITY DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | KORI C CARLSON Hr Director 651-925-8427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MN 460668000) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2025-07-24 |