| NPI | 1336351022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK CHRISTOPHER DALE President 763-424-2930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D11343) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |