| NPI | 1962684696 |
|---|---|
| Doing Business As | CLEARWATER FAMILY AND SEDATION DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ANNE MARIE MEYER Administration 320-558-6810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN 11975) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2007-12-05 |