NPI | 1932274107 |
---|---|
Entity Type | Organization |
Authorized Contact | DUANE KEITH SWEEN President 763-521-2254 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN c960) |
Enumeration Date | 2006-11-22 |
Last Update Date | 2020-08-22 |