| NPI | 1447372859 |
|---|---|
| Doing Business As | DOWNTOWN DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | SCOTT ROBERT KOIDAHL President 612-339-5808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MN 9024) |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2020-08-22 |