| NPI | 1356525331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CLAYTON ECKART Owner 952-445-1352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN 9527) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2007-12-26 |