| NPI | 1396089298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YU PAN President 952-926-3747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MN D12800) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |