| NPI | 1730797697 |
|---|---|
| Doing Business As | COMPLETE DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | KATHRYN VO Owner 952-212-5855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-09-17 |