| NPI | 1275667792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH E SCHARA Dentist 651-224-2011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D10774) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |