| NPI | 1255517223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD J CLAUSEN President 612-338-5420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MN D7406) |
| Enumeration Date | 2008-01-21 |
| Last Update Date | 2008-01-21 |