| NPI | 1881780864 |
|---|---|
| Former Legal Business Name | CHILDREN'S DENTAL HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | KRISTINE SUE BILLMAN CEO/Registered Dental Hygienist 507-273-7257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MN H3646) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2008-04-15 |