| NPI | 1053690198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARCY JAY RINDELAUB Pediatric Dentist 763-767-1524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MN D11365) |
| Enumeration Date | 2011-08-07 |
| Last Update Date | 2011-08-07 |