| NPI | 1841229598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT R. DONLIN President 763-421-5320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D4910) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-08-22 |