| NPI | 1336683036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS L PARVEY Dentist 763-757-1323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN 8455) |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2016-12-14 |