| NPI | 1891592986 |
|---|---|
| Doing Business As | BOILING SPRINGS FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CHAD HENDRICKS HENDRICKS Credentialing 612-859-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-02-26 |
| Last Update Date | 2025-02-26 |