| NPI | 1124621784 |
|---|---|
| Doing Business As | GREEN VALLEY DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | PAUL KLOEK Owner 715-635-7888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2020-11-17 |