| NPI | 1114981677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTI ANN FROEBER Dentist Owner 612-379-2428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN 10272) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2022-12-05 |