Ian Park DDS PA
NPI #1891986378 in Minnetonka, Minnesota
Provider Information
- NPI Number
- 1891986378
- Entity Type
- Organization
- Organization Name
- Ian Park DDS PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 8, 2007
- Last Updated
- Aug 8, 2007
Practice Location
- Address
- 17705 HUTCHINS DR
- Address 2
- SUITE 209
- City
- Minnetonka
- State
- Minnesota
- ZIP Code
- 55345-4145
- Phone
- (952) 474-8114
Authorized Official
- Name
- DR. IAN A PARK, DDS
- Title
- OWNER
- Phone
- (952) 474-8114
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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