NPI | 1568569416 |
---|---|
Doing Business As | HASTINGS FAMILY DENTAL CARE |
Entity Type | Organization |
Authorized Contact | KATHERINE VERONICA CONWAY General Dentist 651-437-9764 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN 10148) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2015-05-28 |