| NPI | 1982907366 | 
|---|---|
| Doing Business As | ORAL PATHOLOGY CLINIC | 
| 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 | 2010-12-07 | 
| Last Update Date | 2016-12-21 |