| NPI | 1427151968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JEFFREY KING Owner Dentist 763-544-5919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN 8261) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2008-07-14 |