| NPI | 1104916527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS THOMAS AUSTIN President Dentist 651-641-1908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D09811) |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2020-08-22 |