| 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 |