NPI | 1417101601 |
---|---|
Former Legal Business Name | STEINER & VENTRUCCI |
Entity Type | Organization |
Authorized Contact | JEFFREY WICHMANN Owner 952-432-8110 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 122300000X Dentist (Licence: MN 12069) |
Enumeration Date | 2008-11-14 |
Last Update Date | 2015-04-06 |