| NPI | 1609048743 |
|---|---|
| Doing Business As | PERIOWEST |
| Entity Type | Organization |
| Authorized Contact | ANDRES ROBERTO SANCHEZ President 952-393-3634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MN S13) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2020-08-18 |