| NPI | 1245840487 |
|---|---|
| Doing Business As | BAXTER DENTAL |
| Former Legal Business Name | BAXTER DENTAL |
| Entity Type | Organization |
| Authorized Contact | SCOTT TIMMONS Dds 218-829-4207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |