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Individual

DR. GAIL ENGASSER PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
6600 EXCELSIOR BLVD, SUITE 191, ST LOUIS PARK, MN 55426-4744
(952) 931-9961
(952) 931-3944
Mailing address
15011 LINNER RDG, WAYZATA, MN 55391-2244
(952) 473-0446

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9375
MN

Other

Enumeration date
11/02/2006
Last updated
07/08/2007
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