| NPI | 1477626646 |
|---|---|
| Doing Business As | PARKWAY PLACE DENTAL |
| Entity Type | Organization |
| Authorized Contact | DWIGHT GRIFFITH BULLER President 952-895-6933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D7528) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |