| NPI | 1154473189 |
|---|---|
| Doing Business As | CHESTER CREEK DENTAL |
| Entity Type | Organization |
| Authorized Contact | WILLIAM JAY BELLAMY General Partner 218-724-1332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D9789 D9795) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |