| NPI | 1528455656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB SMESTAD Owner/Dentist 218-263-8951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D12807) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2015-04-15 |