NPI | 1750760179 |
---|---|
Doing Business As | VILLAGE PARK FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | SABA AHMED Doctor 218-336-1131 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 23508) |
Enumeration Date | 2015-05-19 |
Last Update Date | 2015-06-25 |