| NPI | 1821199852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL THOMAS KRATZ Dentist Owner 952-922-2214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN 10956) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: MN 6003) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |