| NPI | 1770500464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN DEAN QUALE President 320-235-2922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN 8630) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MN 6153) |
| 1223G0001X Dentist, General Practice (Licence: MN 7804) | |
| 1223G0001X Dentist, General Practice (Licence: MN D12448) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |