| NPI | 1881922953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENAE DAWN BLOME Executive Director 507-475-0628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MN H6616) |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2009-11-30 |