| NPI | 1861587842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAUNDRA ANN ROHRER Manager 612-729-2393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D11528) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |