| NPI | 1982007803 |
|---|---|
| Doing Business As | BLAINE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J PERPICH Owner 763-757-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2014-10-06 |