| NPI | 1891749362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOREN JEFFREY TAPLE Dds/Owner 651-687-0789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN 10386) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2008-06-24 |