| NPI | 1215588660 |
|---|---|
| Doing Business As | NORTHERN ENDODONTICS |
| Entity Type | Organization |
| Authorized Contact | SHANNON HESSE Credentialing Specialist 651-746-2815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2020-10-28 |