NPI | 1578596177 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY JO URBAN Practice Manager 507-625-9330 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2006-07-08 |
Last Update Date | 2020-08-22 |