| NPI | 1518144591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW S SCHROEDER Dentist / Owner 218-245-2451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN 11954) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-06-19 |