| NPI | 1083841118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS GREGORY MURN Owner 320-252-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MN 9221) |
| Additional Taxonomies | 122300000X Dentist (Licence: MN 10166) |
| 122300000X Dentist (Licence: MN D12650) | |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2009-06-16 |