| NPI | 1568481760 |
|---|---|
| Doing Business As | VADNAIS HEIGHTS FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JAMES C. E. ANDREA General Partner 651-482-0180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN 9959) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MN 10099) |
| 1223G0001X Dentist, General Practice (Licence: MN 11489) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |