NPI | 1255518254 |
---|---|
Doing Business As | UPTOWN DENTAL |
Entity Type | Organization |
Authorized Contact | MARKO MICHEL AMIN KAMEL President 651-808-7731 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D12206) |
Enumeration Date | 2008-01-22 |
Last Update Date | 2008-01-22 |