| NPI | 1942214200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES NEHL MCKONE President 763-475-9170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D8146) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2011-05-10 |