| NPI | 1285865006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE ORVILLE SLETTEN Owner 507-373-1915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MN 7015) |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2009-07-29 |