| NPI | 1528515194 |
|---|---|
| Doing Business As | ADVANCED DENTAL THERAPIST - NP CLINIC |
| Entity Type | Organization |
| Authorized Contact | LEON ASSAEL Dean, Uof Mn School Of Dentistry 612-626-6529 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |