| 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 |