NPI | 1295169662 |
---|---|
Entity Type | Organization |
Authorized Contact | HOLLY RAE JORGENSEN Executive Director 507-363-3023 |
Organization Subpart ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MN H8035) |
Enumeration Date | 2013-08-21 |
Last Update Date | 2013-08-21 |