| NPI | 1770196891 |
|---|---|
| Doing Business As | ROSEVILLE DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | THOMAS JOSEPH HOEFFEL Dentist 651-631-9010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |