| NPI | 1902924053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS H INGLIS Owner 320-587-3502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MN D8591) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |