| NPI | 1073662292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY DONALD GERST President Owner 612-874-7674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN 7880) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |