| NPI | 1194885491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY O. FLYNN President 952-922-5561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MN 8640466) |
| Enumeration Date | 2006-12-10 |
| Last Update Date | 2020-08-22 |