NPI | 1679620801 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES CARL BLOCK Owner/President 952-935-8420 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2007-01-03 |
Last Update Date | 2015-12-14 |