NPI | 1942608377 |
---|---|
Doing Business As | CROSSTOWN FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | FRANK EDWARD MORK President 612-866-5014 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D10511) |
Enumeration Date | 2014-12-17 |
Last Update Date | 2014-12-17 |