| NPI | 1255585121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAVIN ATURALIYA President 218-279-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MN D10835) |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-05 |