NPI | 1831365006 |
---|---|
Entity Type | Organization |
Authorized Contact | FRED WILLIAM CARPENTER Orthodontist 651-771-7719 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2008-05-07 |
Last Update Date | 2008-05-07 |