| NPI | 1710407267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW STEVEN ATCHISON President 218-236-7076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D12404) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2022-07-21 |