| NPI | 1720369812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS LYMAN SITZER Owner 507-288-0102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MN 7249) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2011-09-01 |