| 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 |