| NPI | 1346356052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GESICA TENEL HORN President Dentist 651-288-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN 11597) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-08-22 |