| NPI | 1831812007 |
|---|---|
| Doing Business As | ELY FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | CHRISTINE HAKALA Office Manager 218-365-3565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2022-09-22 |