NPI | 1184956187 |
---|---|
Doing Business As | WASECA FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | TODD PATRICK CHRISTIANSON President/Owner 507-835-4280 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D12531) |
Enumeration Date | 2010-02-02 |
Last Update Date | 2010-02-10 |