| NPI | 1093771248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE ELIAS DEMONAKOS CEO 612-788-3133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D10978) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2020-08-22 |