| NPI | 1467967893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER JEAN KALPIN Dentist/Business Ownder 320-252-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D12155) |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2017-12-07 |