| NPI | 1780739417 |
|---|---|
| Doing Business As | HEALTHPARTNERS COMO DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | KATHLEEN M COONEY CAO 952-883-7565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| 1223P0700X Dentist, Prosthodontics | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |