| NPI | 1619144540 |
|---|---|
| Doing Business As | ROSEMOUNT DENTAL |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS S. WOLFF Owner 651-439-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: MN D11236) |
| Additional Taxonomies | 305S00000X Point of Service (Licence: MN D11480) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2008-05-09 |