| 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 |