NPI | 1649850603 |
---|---|
Doing Business As | SUNNYBROOK DENTAL |
Entity Type | Organization |
Authorized Contact | KARLA THOLE-BECHTOLD President 712-274-2338 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-04-13 |
Last Update Date | 2021-04-13 |