| NPI | 1508581133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMI INOUE Owner Orthodontist 507-382-9271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-10-06 |
| Last Update Date | 2022-10-06 |