| NPI | 1619277043 |
|---|---|
| Doing Business As | 901 FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MARIA REKA KOERNER-VAJNA President 612-501-6133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D11886) |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2010-11-02 |