| NPI | 1780855171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MAURICE KEANE Owner/Oral Surgeon 952-920-3844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: MN 9671) |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2008-03-13 |