NPI | 1306853437 |
---|---|
Doing Business As | DENTISTRY FOR CHILDREN AND ADOLESCENTS |
Entity Type | Organization |
Authorized Contact | KURT JAY KING President 952-831-4400 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2006-08-02 |
Last Update Date | 2020-08-22 |