| NPI | 1285236471 |
|---|---|
| Doing Business As | THE DENTAL SPECIALISTS EDINA (PEDS) |
| Entity Type | Organization |
| Authorized Contact | SHANNON HESSE Credentialing Specialist 651-746-2815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2020-11-12 |