| NPI | 1154455426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW E HELMICH Officer 763-425-9888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |