| NPI | 1508058322 |
|---|---|
| Former Legal Business Name | RICHARD W BRUNTON PA |
| Entity Type | Organization |
| Authorized Contact | CONNIE LOUISE MILLER Practice Manager 651-351-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MN 10762) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2010-10-20 |