| NPI | 1952428393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA K SCEPANSKI Office Manager 952-888-9661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN 7253) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |