| NPI | 1609298355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA ASCHEMAN Supervisor/Owner 320-629-2282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D11935) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-01-15 |