| NPI | 1205261195 |
|---|---|
| Former Legal Business Name | CENTRE FOR DISTINCTIVE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER M CHMIEL Dentist 651-739-8573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MN D11040) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2013-09-10 |