| NPI | 1437580818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN GUNTER Financial Administrator 952-891-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN 8270) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2013-12-10 |