| NPI | 1164474003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISS STEUBEN Front Desk 763-535-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN 9785) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2024-02-29 |