NPI | 1477112456 |
---|---|
Doing Business As | "GENTLE DENTISTRY" |
Entity Type | Organization |
Authorized Contact | ROBERT LUTHER BODIN Owner/CEO 952-224-9788 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-06-12 |
Last Update Date | 2019-06-12 |