| NPI | 1386956431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW JOHN BAUMAN Owner/Dds 651-480-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MN D10988) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2010-07-06 |