| NPI | 1174962674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W. STEIL Partner/Owner 320-253-0272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MN D11073) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: MN D7765) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: MN D12885) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: MN D11344) | |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2013-06-18 |