NPI | 1588794879 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTIAN W BLOCK Dentist 763-295-3676 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D12145) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2020-08-22 |