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Organization
EMERGENCY DENTAL PROFESSIONALS, LLC
Active
Organization
EMERGENCY DENTAL PROFESSIONALS, LLC
Active
Other names
Emergency Dental Professionals
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID PARK DMD (CEO/PRESIDENT)
(651) 788-7045
Entity
Organization
Contact information
Practice address
393 DUNLAP ST N STE 308, SAINT PAUL, MN 55104-4223
(651) 788-7045
Mailing address
393 DUNLAP ST N STE 308, SAINT PAUL, MN 55104-4223
(651) 788-7045
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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