| NPI | 1275628331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M ERLANDSON Owner 651-731-1560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D9193) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |