| NPI | 1417015009 |
|---|---|
| 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 |