| NPI | 1265763338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE JEAN LEHN President, Dentist Owner 952-888-9661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MN D11368) |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2012-08-13 |