NPI | 1457421786 |
---|---|
Entity Type | Organization |
Authorized Contact | DONALD CHARLES EHLERS President 612-861-7188 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN d8928) |
Enumeration Date | 2006-11-08 |
Last Update Date | 2020-08-22 |