NPI | 1508477050 |
---|---|
Doing Business As | MODERN DAY DENTAL |
Entity Type | Organization |
Authorized Contact | SOPHIA RIZZO Owner 507-269-2774 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2020-08-10 |
Last Update Date | 2020-10-13 |