| NPI | 1821498858 |
|---|---|
| Doing Business As | NORTHSTAR DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | SARAH LOUISE CARLSON Owner 651-472-4713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D12115) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2014-08-27 |