| NPI | 1366681082 |
|---|---|
| Doing Business As | KINGFIELD FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | NESRET SHU-ANKH Practice Manager 651-647-9697 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D8084) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2009-02-19 |