| NPI | 1447956875 |
|---|---|
| Doing Business As | MINNESOTA VETERANS HOMES DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | SIMONE RENEE HOGAN Mdva Chief Operations Director 612-505-4110 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2024-12-03 |