| NPI | 1457401820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES R BABST President 218-722-8377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MN 2467529001) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2008-03-05 |