NPI | 1285768812 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT R BOWLBY General Partner 952-926-1626 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0008X Dentist, Oral and Maxillofacial Radiology |
Enumeration Date | 2007-03-15 |
Last Update Date | 2020-08-22 |