| NPI | 1427367531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL C TOMPACH Owner/President 952-925-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2010-10-07 |