| NPI | 1619287562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAGANNATIAN RAMAKRISHNAN Dentist 763-218-2887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MN D12003) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2010-10-13 |