NPI | 1447506571 |
---|---|
Doing Business As | EDINA ORTHODONTIC ASSOCIATES |
Entity Type | Organization |
Authorized Contact | SCOTT ROBERT BOWLBY Managing Partner/Orthodontist 952-926-2335 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MN D11240,9023,10908AND) |
Enumeration Date | 2012-07-26 |
Last Update Date | 2012-07-26 |