| NPI | 1447818422 |
|---|---|
| Doing Business As | OAKDALE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SAM JACOBSON Business Manager 651-731-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2020-08-06 |