NPI | 1881304376 |
---|---|
Doing Business As | GOLDSTEIN DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | CHAD HENDRICKS Credentialing 612-859-0444 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-11-25 |
Last Update Date | 2022-11-25 |