| NPI | 1942408778 |
|---|---|
| Other Name | TANGLETOWN DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRAD S ISAACSON Owner 612-822-2324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN 08320) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2015-01-14 |