| NPI | 1730310442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE ORVILLE SLETTEN Owner 507-238-4512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MN 7015) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2009-07-29 |