NPI | 1659458974 |
---|---|
Doing Business As | UPTOWN DENTAL |
Entity Type | Organization |
Authorized Contact | TAMARA FERRERO Office Manager 612-827-3736 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2006-11-01 |
Last Update Date | 2020-08-22 |