NPI | 1841915741 |
---|---|
Doing Business As | DENTURES ASAP SOUTH |
Entity Type | Organization |
Authorized Contact | TRACEY ROSEANN CHARLES Doctor/Owner 612-870-4646 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-10-04 |
Last Update Date | 2022-10-04 |