| NPI | 1104201284 |
|---|---|
| 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 | 2015-07-30 |
| Last Update Date | 2020-10-28 |