| NPI | 1396971412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REED DOUGLAS DILL President/Owner 763-263-3262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MN D10598) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2009-06-03 |