NPI | 1275756488 |
---|---|
Other Name | PEDIATRIC DENTAL CARE |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER E CARROLL Owner 507-452-1543 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MN 8405) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2020-08-22 |