| NPI | 1467052019 |
|---|---|
| Doing Business As | PARKWAY PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | RYAN R REOPELLE Member 701-212-7428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2020-10-31 |
| Last Update Date | 2020-11-02 |