| NPI | 1518571793 |
|---|---|
| Doing Business As | WESTCHESTER DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | CHAD HENDRICKS Director Of Credentialing 612-859-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-03 |