| NPI | 1225178361 |
|---|---|
| Doing Business As | MINNESOTA DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | CARL BENTON FITZSIMMONS President 763-537-5123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN 11044) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |