| NPI | 1265077374 |
|---|---|
| Doing Business As | TOOTHHQ DENTAL SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | CHAD HENDRICKS Credentialing 612-859-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2019-11-12 |