| NPI | 1205443850 |
|---|---|
| Doing Business As | BIRCHWOOD DENTAL |
| Entity Type | Organization |
| Authorized Contact | KELLY C LENZ Practice Manager 651-994-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |