| NPI | 1457486391 |
|---|---|
| Doing Business As | DENTAL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | RANDY W JOHNSON Officer 507-532-2233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MN D7816) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |