| NPI | 1740340561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN WILLIAM ROBINSON Officer 763-546-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MN D7463) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |