NPI | 1659447670 |
---|---|
Entity Type | Organization |
Authorized Contact | LYDIA JONAK Office Manager 763-757-2768 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MN 9570) |
Enumeration Date | 2006-11-28 |
Last Update Date | 2020-08-22 |