| NPI | 1679765929 |
|---|---|
| Doing Business As | BAY CREEK DENTAL |
| Entity Type | Organization |
| Authorized Contact | PAUL D BOETTNER Owner 763-476-6774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D12160) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2012-06-15 |