| NPI | 1003993304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHALL L WADE Vice President 651-578-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-11-30 |