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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