| NPI | 1518934306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NHANGUYEN NGUYEN Dentist 320-529-0910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D11111) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2020-08-22 |