| 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 |