| NPI | 1265618862 |
|---|---|
| Doing Business As | DBA/ CARMICHAEL DENTAL |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS S. WOLFF Pwner 651-439-2600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 305S00000X Point of Service |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2022-07-21 |