| NPI | 1790181337 |
|---|---|
| Doing Business As | NORTH BRANCH DENTAL |
| Entity Type | Organization |
| Authorized Contact | SARAH M BURT Operations Director 651-674-7096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2014-11-10 |