| NPI | 1154146959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SINDEY LONES Rcm Interagrations Manager 612-355-7792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-11-18 |
| Last Update Date | 2024-11-18 |