| NPI | 1598935256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES A KELLER President 651-776-8355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN 8352) |
| Enumeration Date | 2008-03-08 |
| Last Update Date | 2008-03-08 |