| NPI | 1487877650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE WILLIAM ANDERSON President 507-372-2166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MN 8245) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |