| NPI | 1669648747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN THOMAS FRANCIS Dentist/Business Co Owner 763-416-0011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: MN D11927) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-05-07 |