| NPI | 1194544189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL HEMANN Owner 507-272-9665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2024-10-07 |