| NPI | 1538338595 |
|---|---|
| Doing Business As | ORAL AND MAXILLOFACIAL RADIOLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | LEON ASSAEL Dean, Uof Mn School Of Dentistry 612-626-6529 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2016-08-09 |