| NPI | 1407325830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER STEELE President 651-746-2815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2020-10-30 |