| NPI | 1497294326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY MARIE JARRETT Owner, Dentist 507-216-9891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MN D13593) |
| Enumeration Date | 2017-02-12 |
| Last Update Date | 2017-04-03 |