| NPI | 1952468654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN J MCHUGH Vice President 952-938-8858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D11518) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |