| 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 |