| NPI | 1710052691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD GERARD BATTAGLIA Owner/Dentist 763-757-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: MN 7054) |
| Enumeration Date | 2006-11-23 |
| Last Update Date | 2013-12-09 |