| NPI | 1255494712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE W SWENBY President 952-881-2243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MN 10540) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |