NPI | 1689757080 |
---|---|
Doing Business As | APPLE RIVER DENTAL |
Entity Type | Organization |
Authorized Contact | DOUGLAS STEVEN WOLFF Owner Dentist 651-439-2600 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Enumeration Date | 2006-10-23 |
Last Update Date | 2020-08-22 |