| NPI | 1669634812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK LAVERN OHLSEN Dentists 507-334-7471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN d10296) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-06-30 |