| NPI | 1770702714 |
|---|---|
| Doing Business As | SOUTHILL DENTAL GROUP PA |
| Entity Type | Organization |
| Authorized Contact | DONNA KOBS Office Manager 651-439-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN 12778) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2013-04-02 |