| NPI | 1891876595 |
|---|---|
| Other Name | PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | GREG S BEINLICH Partner 651-702-1462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MN 2989128) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |