| NPI | 1154416402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THANH K. DANG CEO/Owner 763-497-9906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MN 37961) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |