| NPI | 1376785501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE E WURM Owner 320-656-1456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MN 11035) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: MN 11790) |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2009-04-02 |