| NPI | 1013494087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMAN SHARJEEL SAJID President 612-229-6898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 63896) |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-07-23 |