NPI | 1184782617 |
---|---|
Doing Business As | PARK DENTAL |
Entity Type | Organization |
Authorized Contact | JOHN GULON President 651-633-0500 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2006-12-05 |
Last Update Date | 2020-10-28 |