| NPI | 1275892218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL C TOMPACH Owner/Doctor 952-925-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MN D11128) |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2012-05-11 |