| NPI | 1245844588 |
|---|---|
| Doing Business As | PRESERVE PARKWAY DENTAL |
| Entity Type | Organization |
| Authorized Contact | DENNIS L KAIVO Owner 952-941-0470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-03 |