| NPI | 1811072184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN SCHOMMER Office Manager 651-450-0487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MN 2989128) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |