| NPI | 1124575501 |
|---|---|
| Former Legal Business Name | GEORGE DENTAL EAGAN, PA |
| Other Name | GEORGE DENTAL GROUP, PA |
| Entity Type | Organization |
| Authorized Contact | KELLEE STANTON Dentist/Owner 651-343-7002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2024-08-12 |