| 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 |