NPI | 1881250520 |
---|---|
Doing Business As | GREENWAY DENTAL |
Entity Type | Organization |
Authorized Contact | SAM LACHANCE Owner 612-424-6850 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-05-17 |
Last Update Date | 2019-05-17 |