| NPI | 1316603301 |
|---|---|
| Doing Business As | TOTAL DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | CHAD HENDRICKS Credentialing 612-859-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2021-11-13 |
| Last Update Date | 2022-04-27 |