| NPI | 1194453951 |
|---|---|
| Doing Business As | COMO PARK DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DERRIK HARTMAN President 507-272-5955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2022-08-10 |