Individual
DR. MINERVA C PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
555 WABASHA ST N STE 250, SAINT PAUL, MN 55102-1673
(651) 292-9331
Mailing address
1160 CUSHING CIR APT 117, SAINT PAUL, MN 55108-5010
(443) 857-4207
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13907
MN
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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