| NPI | 1730586579 |
|---|---|
| Doing Business As | ADVANCED PERIODONTICS & IMPLANTS |
| Entity Type | Organization |
| Authorized Contact | BRYAN MARK RECKER Periodontist 507-226-3706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MN D12733) |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2015-06-15 |