| NPI | 1609992049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN HOWARD YOUNGREN President 507-375-4611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MN 8476) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |