NPI | 1558776815 |
---|---|
Entity Type | Organization |
Authorized Contact | JAN A NIELSEN Office Manager 612-822-2324 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MN 8320) |
Enumeration Date | 2014-06-25 |
Last Update Date | 2014-06-25 |