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 |