| NPI | 1114360492 |
|---|---|
| Doing Business As | EAST DENTAL |
| Entity Type | Organization |
| Authorized Contact | JENNIFER A MARKER JOHNSON Dds/President 651-774-6085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2017-02-02 |