| NPI | 1477638294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG STEVEN BEINLICH Partner 651-439-5640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MN 7329) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: MN 8325) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: MN 10545) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-08-22 |