| NPI | 1992083125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIMPLE MALIK Owner/President 763-536-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MN D11732) |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2011-08-01 |