NPI | 1013111202 |
---|---|
Former Legal Business Name | V DENTAL INC. |
Entity Type | Organization |
Authorized Contact | LEWIS T. YANG Office Manager 763-422-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MN D10820) |
Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: MN D10987) |
Enumeration Date | 2007-06-12 |
Last Update Date | 2020-08-22 |