| NPI | 1386397065 |
|---|---|
| Doing Business As | BURNSVILLE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | IGNATIUS K LEE Owner/President 952-736-1080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2022-02-01 |