| NPI | 1295284701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN JOHN HENSELER Dds Orthodontist 651-439-8909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MN 10804) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MN D12265) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-09-26 |