| NPI | 1376876193 |
|---|---|
| Doing Business As | FAMILY 1ST DENTAL OF ST. PAUL - 1 |
| Entity Type | Organization |
| Authorized Contact | CHARLES S. SKOGLUND Owner 402-644-3177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2009-09-11 |