NPI | 1619025798 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER W KUIPERS Owner 952-892-3282 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MN 7434) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2020-08-22 |