| NPI | 1841323110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER LOUIS WALMAN Owner 952-933-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MN MN7370) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |