| NPI | 1689847519 |
|---|---|
| Other Name | 901 FAMILY DENTISTRY INC. |
| Entity Type | Organization |
| Authorized Contact | RICHARD PAUL VINCENT Owner 612-789-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MN D9485) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-04-11 |