NPI | 1669125464 |
---|---|
Doing Business As | EDINA 5-0 DENTAL, PA |
Entity Type | Organization |
Authorized Contact | CHALSEY NELSEN Owner 507-316-2340 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-02-01 |
Last Update Date | 2022-02-01 |