| NPI | 1972760098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL MARIE ASH Dentist President 651-731-1054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN 10284) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-05-16 |