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 |