| NPI | 1962657932 |
|---|---|
| Doing Business As | U OF MN FACULTY PRACTICE ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | GARY CARL ANDERSON Dean, Uof Mn School Of Dentistry 612-626-6529 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2016-12-21 |