| NPI | 1699816132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J. HARRINGTON President 763-473-7656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MN 10083) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |