| NPI | 1467179531 |
|---|---|
| Doing Business As | HIGHLAND DENTAL PROFESSIONALS |
| Entity Type | Organization |
| Authorized Contact | VALERIE ELLEN KREPS Owner 651-699-3031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2022-10-20 |