Individual provider · Type 1 NPI
Minerva C. Park, DDS
General Practice Dentistry · St. Paul, MN
NPI number
1033624655
Active
Practice location
555 Wabasha St N Ste 250
St. Paul, MN 55102-1673
Mailing address
1160 Cushing Cir Apt 117
St. Paul, MN 55108-5010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | D13907 (MN) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1033624655
Minerva C. Park, DDS's National Provider Identifier is 1033624655, issued on Dec 5, 2017. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in St. Paul, MN. The record was last updated on Dec 5, 2017.