| NPI | 1043807571 |
|---|---|
| Doing Business As | PARK DENTAL EDINBOROUGH WAY |
| Entity Type | Organization |
| Authorized Contact | SHANNON HESSE Credentialing Specialist 651-746-2815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2020-12-30 |