| NPI | 1467672709 |
|---|---|
| Doing Business As | BOYNTON HEALTH SERVICE |
| Entity Type | Organization |
| Authorized Contact | EDWARD PETER EHLINGER Director 612-625-1612 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 122300000X Dentist |
| 1223P0300X Dentist, Periodontics | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| 124Q00000X Dental Hygienist | |
| 126800000X Dental Assistant | |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2007-10-15 |