| NPI | 1235467473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI CHRISTINE REUTER Dentist 218-631-1487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MN D12424) |
| 124Q00000X Dental Hygienist | |
| 126800000X Dental Assistant | |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2009-11-30 |