| NPI | 1952467615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL WOELL General Dentist Corp President 612-861-7109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MN D11577) |
| Additional Taxonomies | 122300000X Dentist (Licence: MN D11737) |
| 122300000X Dentist (Licence: MN D8740) | |
| 122300000X Dentist (Licence: MN D8581) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2014-09-24 |