NPI | 1861507329 |
---|---|
Former Legal Business Name | MARK F SOUERS DDS |
Entity Type | Organization |
Authorized Contact | MARK FOSTER SOUERS President 952-476-6655 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D10330) |
Enumeration Date | 2006-08-21 |
Last Update Date | 2020-08-22 |