| NPI | 1053405571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALLEN KATZ Owner 952-935-7707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN d9350) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |