| NPI | 1841850062 |
|---|---|
| Doing Business As | SUN DENTAL |
| Entity Type | Organization |
| Authorized Contact | SHAWN TIMOTHY MCCULLOUGH Owner 651-674-4811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2019-06-19 |