NPI | 1235370420 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER THOMAS SASIK President 763-559-7600 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MN D10756) |
Enumeration Date | 2009-03-17 |
Last Update Date | 2009-03-17 |