NPI | 1578813358 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID BYRON MACH Owner/Dentist 320-587-2146 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D12279) |
Enumeration Date | 2012-09-19 |
Last Update Date | 2012-09-19 |