| NPI | 1285883777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOHN TULKKI President 952-476-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MN D11543) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-09 |