NPI | 1801118039 |
---|---|
Doing Business As | 1ST FAMILY DENTAL CARE |
Entity Type | Organization |
Authorized Contact | OMAR DYAB Owner 763-428-1215 |
Organization Subpart ? | No |
Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: MN D12346) |
Enumeration Date | 2010-02-15 |
Last Update Date | 2010-02-15 |