NPI | 1043816093 |
---|---|
Doing Business As | RADIANCE ARTISTIC DENTISTRY & WELLNESS |
Entity Type | Organization |
Authorized Contact | RADIP UPRETY Dentist/ Owner 612-226-0695 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2020-12-07 |
Last Update Date | 2020-12-07 |