| NPI | 1003948217 |
|---|---|
| Doing Business As | NORTHWAY DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | THOMAS H COMO President 320-253-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MN 8011) |
| Additional Taxonomies | 122300000X Dentist (Licence: MN 9182) |
| 122300000X Dentist (Licence: MN 9096) | |
| 122300000X Dentist (Licence: MN 11952) | |
| 122300000X Dentist (Licence: MN 11953) | |
| 122300000X Dentist (Licence: MN 9874) | |
| 122300000X Dentist (Licence: MN 8837) | |
| 122300000X Dentist (Licence: MN 10445) | |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |