| NPI | 1790795821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMI M GUIRGUIS Owner 218-525-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: MN D11559) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: MN D10919) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-08-22 |