| NPI | 1063194454 |
|---|---|
| Doing Business As | HOLLY SPRINGS DENTAL |
| Entity Type | Organization |
| Authorized Contact | CHINMAYA MISHRA Dentist 651-373-5547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2023-08-04 |