| NPI | 1538593843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL THOMAS HUEY Dentist, Co Owner 612-874-7674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MN D12946) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: MN D12939) |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2013-08-23 |