| NPI | 1376935536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSH DD CAMPBELL President 320-587-3993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN 4324788) |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2015-02-25 |