| NPI | 1447078175 |
|---|---|
| Doing Business As | GREGORICH & MATACK FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | REBECCA OMAN Office Manager 218-727-1448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-10-01 |