NPI | 1366907032 |
---|---|
Doing Business As | BIRCH POINT DENTAL |
Entity Type | Organization |
Authorized Contact | JOHN KANE Dentist/Owner 715-934-2182 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-02-06 |
Last Update Date | 2019-02-06 |