| NPI | 1467508226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROD L. KORNRUMPF Adult Mental Health Administrator 651-431-5003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2009-02-27 |