| NPI | 1457570194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY RALPH SMISEK President S MIS Ek Family Dentistry 651-483-6747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN 9783) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MN 7909) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2008-07-17 |