| NPI | 1811206683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENTON DALE MCCONE Doctor Of Chiropractic 763-550-1006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 4099) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2010-09-28 |