| NPI | 1538533989 |
|---|---|
| Doing Business As | SOUTHSIDE DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | DEREK DANIEL ABRAMOWSKI Owner 763-229-2613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: MN D13279) |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2015-11-23 |