| NPI | 1023309549 |
|---|---|
| Doing Business As | PARK DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOHN GULON President 651-633-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2020-10-28 |