Park Dental | |
2600 39th Ave Ne 225 Minneapolis MN 55421-4379 | |
(763) 781-7475 | |
(763) 781-0828 |
Full Name | Park Dental |
---|---|
Speciality | Clinic/center - Dental |
Location | 2600 39th Ave Ne, Minneapolis, Minnesota |
Authorized Official Name and Position | John Gulon (PRESIDENT) |
Authorized Official Contact | 6516330500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Park Dental 2200 County Road C W 2210 Roseville MN 55113-2550 Ph: (651) 633-0500 | Park Dental 2600 39th Ave Ne 225 Minneapolis MN 55421-4379 Ph: (763) 781-7475 |
NPI Number | 1023309549 |
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Provider Enumeration Date | 05/02/2011 |
Last Update Date | 10/28/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023309549 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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