| NPI | 1831509827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYNE CERNOHOUS Dental Faculty COO Rdinator 651-621-8840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2014-04-30 |