NPI | 1548687296 |
---|---|
Doing Business As | PARK DENTAL |
Entity Type | Organization |
Authorized Contact | JOHN GULON President 651-633-0500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2014-03-19 |
Last Update Date | 2020-10-28 |