NPI | 1538678057 |
---|---|
Entity Type | Organization |
Authorized Contact | DARCY J RINDELAUB Owner 651-324-4270 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MN D11365) |
Enumeration Date | 2017-09-27 |
Last Update Date | 2017-09-27 |