NPI | 1649867334 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT BOWLBY Orthodontist/Owner 612-332-4344 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2020-12-29 |
Last Update Date | 2020-12-29 |