| NPI | 1275409773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURABHI GAJENDRAGADKAR President/Owner Doctor 218-730-7644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-10-13 |
| Last Update Date | 2025-10-13 |