NPI | 1669743738 |
---|---|
Doing Business As | VERSA DENTAL CARE |
Entity Type | Organization |
Authorized Contact | NICHOLAS MICHAEL WEINAND Dentist, Co Owner 763-475-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2012-01-22 |
Last Update Date | 2012-01-22 |