| NPI | 1518402395 |
|---|---|
| Doing Business As | I-IMPLANT DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | S BASSAS General Manager 320-331-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-01-03 |