NPI | 1396186813 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL W STEIL Partner/Owner 320-253-0272 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MN D11073) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: MN D7765) |
1223P0221X Dentist, Pediatric Dentistry (Licence: MN D11344) | |
Enumeration Date | 2013-07-12 |
Last Update Date | 2013-07-12 |