| NPI | 1750760179 |
|---|---|
| Doing Business As | VILLAGE PARK FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | SABA AHMED Doctor 218-336-1131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: TX 23508) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2015-06-25 |