| NPI | 1740444827 |
|---|---|
| Doing Business As | HENRICKSON DENTAL |
| Entity Type | Organization |
| Authorized Contact | MYRON A HENRICKSON Owner 651-777-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MN D9492) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2008-07-17 |