NPI | 1699477463 |
---|---|
Doing Business As | GALLERIA DENTAL AESTHETICS |
Entity Type | Organization |
Authorized Contact | CHAD HENDRICKS Credentialing 612-859-0444 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2023-03-17 |
Last Update Date | 2023-07-05 |