| NPI | 1679121511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE HAMMER Orthodontist/Owner 218-349-9546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2019-09-03 |