| NPI | 1023530441 |
|---|---|
| Doing Business As | PARK STREET FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | BOHUN CHOI Dds 585-732-1994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CT 011234) |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2022-07-21 |