| NPI | 1992851216 |
|---|---|
| Doing Business As | NORMANDALE COMMUNITY DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | CRAIG ERICKSON Chief Financial Officer 952-487-8232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2020-08-22 |