NPI | 1447930904 |
---|---|
Doing Business As | APPLE VALLEY MODERN DENTISTRY |
Entity Type | Organization |
Authorized Contact | ERIK HOUCK Owner 952-248-4411 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-07-20 |
Last Update Date | 2023-07-20 |