| NPI | 1427237551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES I MIDTLING Owner 651-222-6396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: MN 10555) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-10-25 |