| NPI | 1386721454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT R. STEGER Dentist/CEO/Treasurer 651-385-9348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MN 10726) |
| Additional Taxonomies | 122300000X Dentist (Licence: MN 10678) |
| 1223E0200X Dentist, Endodontics (Licence: MN 10726) | |
| 1223E0200X Dentist, Endodontics (Licence: MN 10678) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2019-01-11 |