| NPI | 1316009210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN C. LABBE Owner Dentist 218-728-4739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN 9608) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MN 12164) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2020-08-22 |