NPI | 1083762041 |
---|---|
Doing Business As | FACIAL PAIN CENTER |
Entity Type | Organization |
Authorized Contact | JOHN GULON President 651-633-0500 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD0000X Clinic/Center Dental |
Enumeration Date | 2007-01-08 |
Last Update Date | 2020-10-28 |