| NPI | 1699842351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN MARK SETTERSTROM President 651-739-7888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MN D11037) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2014-06-03 |