| NPI | 1982031878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD WALLACE BROWN Owner/Dentist 507-734-2251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN 10227) |
| Enumeration Date | 2013-10-09 |
| Last Update Date | 2013-10-09 |