| NPI | 1093882656 |
|---|---|
| Doing Business As | THE SALVATION ARMY GOOD SAMARITAN DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | ALLISON UTHKE-SCALETTA Government Grantwriter 651-746-3543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN 867910000) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2019-12-02 |