NPI | 1588318992 |
---|---|
Doing Business As | CITY STATION DENTAL |
Entity Type | Organization |
Authorized Contact | PETER NNAMDI OKWEREKWU Owner 612-423-7771 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-02-05 |
Last Update Date | 2022-02-05 |