| NPI | 1497348239 |
|---|---|
| Doing Business As | THE PERIODONTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | PATTY BARNARD Business Manager 651-233-2140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2021-02-12 |
| Last Update Date | 2021-02-12 |