| NPI | 1669876983 |
|---|---|
| Doing Business As | ELEMENTS DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | MEIRA R BERMAN President 952-693-3486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019027464) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2014-10-15 |