| NPI | 1285691220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DAVID RAYMOND President Partner 952-896-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MN 10525) |
| Additional Taxonomies | 122300000X Dentist (Licence: MN 7004) |
| 122300000X Dentist (Licence: MN 6894) | |
| 122300000X Dentist (Licence: MN 6792) | |
| 122300000X Dentist (Licence: MN 9816) | |
| 122300000X Dentist (Licence: MN 8512) | |
| 122300000X Dentist (Licence: MN 10543) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2020-08-22 |