| NPI | 1174157770 |
|---|---|
| Doing Business As | WHITE PARK DENTAL |
| Entity Type | Organization |
| Authorized Contact | KRISTEN HARVEY Member 765-730-3616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2020-02-24 |