NPI | 1295859676 |
---|---|
Doing Business As | CITY WALK DENTAL |
Entity Type | Organization |
Authorized Contact | DOUGLAS STEVEN WOLFF Owner Dentist 651-439-2600 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2007-03-19 |
Last Update Date | 2020-08-22 |