| NPI | 1144860685 |
|---|---|
| Other Name | DOWNTOWN DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | REUBEN MOORE CEO 651-602-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2024-05-15 |