| NPI | 1962538330 |
|---|---|
| Doing Business As | FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SHERI L MURRAY Office Manager 763-786-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D12319MN) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MN D11232MN) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |