| NPI | 1093495574 |
|---|---|
| Doing Business As | COTTAGE GROVE SMILES DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | THOMAS MORIEN Owner 651-352-4628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2023-07-20 |