| NPI | 1629736467 |
|---|---|
| Doing Business As | THE DENTAL PARK |
| Entity Type | Organization |
| Authorized Contact | MAXIM M MOSSMAN Owner 972-838-3772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2022-05-16 |