| NPI | 1093887846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD WILLIAM OASE Owner 218-727-2349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D8642) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |