| NPI | 1831297357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LYLE SALMELA Dentist Owner 952-473-9561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D10795) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |