NPI | 1811670334 |
---|---|
Doing Business As | YOUNG AND POLITE CHILDRENS DENTISTRY |
Entity Type | Organization |
Authorized Contact | CHAD HENDRICKS Credentialing 612-859-0444 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-08-10 |
Last Update Date | 2023-08-10 |