| NPI | 1548426422 |
|---|---|
| Doing Business As | DENTISTRY FOR CHILDREN & ADOLESCENTS |
| Entity Type | Organization |
| Authorized Contact | MARK EDWARD GREENWOOD Treasurer 952-831-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-07-31 |