| NPI | 1689181489 |
|---|---|
| Doing Business As | CLEAR LAKES DENTAL |
| Entity Type | Organization |
| Authorized Contact | DAVID JI HYUN PARK CEO 651-292-9331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MN D13905) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-01-03 |