| 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 |