| NPI | 1972636777 |
|---|---|
| Doing Business As | FAMILY DENTIST TREE |
| Entity Type | Organization |
| Authorized Contact | MARIE SAMUELSON Business Manager 507-288-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-08-29 |