| NPI | 1477175339 |
|---|---|
| Doing Business As | CLEARWATER DENTAL |
| Entity Type | Organization |
| Authorized Contact | YOUNSOOK SHIN President 218-828-1277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2020-05-14 |