| NPI | 1659445765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FREDERICK LINDQUIST Office Manager 218-727-7557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MN D10776) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |