NPI | 1477375285 |
---|---|
Doing Business As | ASH DENTAL STUDIO |
Entity Type | Organization |
Authorized Contact | CHAD HENDRICKS Credentialing 612-859-0444 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2024-10-31 |
Last Update Date | 2024-10-31 |