| NPI | 1063834620 |
|---|---|
| Doing Business As | NORTHWOODS DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | BONNIE MOELLER Treasurer / Owner 425-256-1728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: MN D13314) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-01-15 |