| NPI | 1508873118 |
|---|---|
| Doing Business As | PARKWAY DENTAL |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN GERTNER Office Manager 612-824-4211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-08-22 |