NPI | 1033351457 |
---|---|
Entity Type | Organization |
Authorized Contact | LORRIE K HODD Dentist 612-332-1255 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MN 10117) |
Additional Taxonomies | 122300000X Dentist (Licence: MN D7958) |
Enumeration Date | 2009-03-31 |
Last Update Date | 2009-03-31 |