| NPI | 1487712915 | 
|---|---|
| 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 |