NPI | 1669655890 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM F. LILJEMARK Managing Partner 612-866-3333 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MN 7105) |
Enumeration Date | 2007-12-11 |
Last Update Date | 2007-12-11 |