| NPI | 1891079851 |
|---|---|
| Doing Business As | NORTHSTAR DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | ISABELLA CONSTANTIN Business Manager 952-892-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D11856) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MN D12917) |
| 1223G0001X Dentist, General Practice (Licence: MN 10615) | |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2011-10-07 |