NPI | 1184093551 |
---|---|
Doing Business As | EAGAN SMILES DENTISTRY |
Entity Type | Organization |
Authorized Contact | PAUL S GEBHART Owner 651-236-7458 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2015-09-16 |
Last Update Date | 2015-09-16 |