NPI | 1346082500 |
---|---|
Doing Business As | HUMLICEK FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | ASHLEY HUMLICEK Owner/ Dentist 701-367-9982 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2024-06-10 |
Last Update Date | 2024-06-10 |