| NPI | 1740510510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA L FAHNING Collaborative Dental Hygienist 651-894-4391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MN h5749) |
| Enumeration Date | 2009-12-30 |
| Last Update Date | 2009-12-30 |