NPI | 1235746058 |
---|---|
Doing Business As | LAKE MINNETONKA FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | ROBYN THEISEN VP Of Operations 952-250-3060 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2020-09-25 |
Last Update Date | 2020-09-25 |