| NPI | 1114326592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES HULWI Owner/Orthodontist 507-779-7139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MN D13147) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2015-08-08 |