| NPI | 1225285208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD E OLSON President 952-447-4463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN 7586) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2008-08-21 |