| NPI | 1982032157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L KOCHENDERFER Dentist/Co Owner 763-545-1837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MN D10802, D10868) |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2013-10-24 |