| NPI | 1124386099 |
|---|---|
| Other Name | DR. SJULSON'S DENTAL OFFICE |
| Entity Type | Organization |
| Authorized Contact | ROGER WAYNE SJULSON Dentist 218-435-1599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MN 8437) |
| Additional Taxonomies | 122300000X Dentist (Licence: MN LGL5) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2012-04-30 |