| NPI | 1962525261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL M. OSDOBA President 507-387-2603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D9651) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |