NPI | 1265535868 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM JOSEPH KOTTEMANN Owner 763-420-6834 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MN 8583) |
Enumeration Date | 2006-09-07 |
Last Update Date | 2020-08-22 |