| NPI | 1801037437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ISAACSON Owner/Dentist 651-762-7677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MN D10872) |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2009-03-11 |