| NPI | 1063789113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL T. SAWYER Owner 507-289-2055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D10303) |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2011-11-17 |