| NPI | 1164680948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULETTE JEAN CHESTER Office Manager 507-288-7379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN 7944) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2008-05-28 |