| NPI | 1942474457 |
|---|---|
| Doing Business As | EAGAN DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JUDY K. PEDRO-LIM Dentist 651-808-5252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 1223P0221X Dentist, Pediatric Dentistry | |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |