| NPI | 1437218740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMMERLY CARDINAL Accounts Receivable Supervisor 651-431-3693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2023-11-09 |