| NPI | 1144353780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY A. RUD President 651-452-4317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN 9966) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |