| NPI | 1780722942 |
|---|---|
| Other Name | CAMP SMILE |
| Entity Type | Organization |
| Authorized Contact | DANIEL G RAETHER President 763-383-1788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MN 10086) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2008-08-18 |