| NPI | 1124284732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAITHAM MOSLY President 651-207-9660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D12156) |
| Enumeration Date | 2008-08-03 |
| Last Update Date | 2008-08-03 |