| NPI | 1457984775 |
|---|---|
| Doing Business As | NEW CITY SMILE |
| Entity Type | Organization |
| Authorized Contact | CHAD HENDRICKS Director Of Revenue Cycle 612-859-0444 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2020-02-14 |