| NPI | 1710442413 |
|---|---|
| Doing Business As | GREAT RIVER ORTHODONTICS |
| Doing Business As | SMILES IN MOTION |
| Entity Type | Organization |
| Authorized Contact | STEVEN KRISTO Owner 651-777-8182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-12-16 |