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 |