NPI | 1649054123 |
---|---|
Doing Business As | NEW ROCHELLE DENTAL ARTS |
Entity Type | Organization |
Authorized Contact | CHAD HENDRICKS Credentialing 612-859-0444 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-08-24 |
Last Update Date | 2023-08-24 |