| NPI | 1053602888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MICHAEL PROESCHEL Dentist 952-432-7145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D7926) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2011-04-27 |