| NPI | 1245682905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS L JAEGER CEO 507-344-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN 261QF0400X) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2016-07-06 |