| NPI | 1518231596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARKO KAMEL Dds 651-808-7731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2021-10-18 |