| NPI | 1316538101 |
|---|---|
| Doing Business As | HEALTHPARTNERS PEDIATRIC DENTAL |
| Entity Type | Organization |
| Authorized Contact | LISA BJORKMAN Director Provider Enrollment 952-883-7469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2021-02-03 |