NPI | 1144366626 |
---|---|
Doing Business As | ELK DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | JEFFREY MARK JARMOLUK CEO 763-441-2170 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D10547) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2017-06-30 |