NPI | 1669648747 |
---|---|
Doing Business As | GROVE HEALTH DENTAL |
Entity Type | Organization |
Authorized Contact | RYAN THOMAS FRANCIS Dentist/Business Co Owner 763-416-0011 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MN D11927) |
Enumeration Date | 2008-05-07 |
Last Update Date | 2008-05-07 |