| NPI | 1043435951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L KEIFER President 651-426-4799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN 7820) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-08-22 |