| NPI | 1356539993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL W. HENSEL President 651-738-1284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MN D9544) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |