| NPI | 1306018544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRIN L. KING Orthodontist 507-332-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MN 11171) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |