NPI | 1104249259 |
---|---|
Doing Business As | ARDEN DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | CARLOS ERNESTO CAMPODONICO Owner 763-786-1545 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2014-01-27 |
Last Update Date | 2014-01-27 |