PARK XIONG

Dental Therapist

Active Individual
NPI: 1477145449

Practice Address

636 BROADWAY ST NE
Minneapolis, MN 55413

Phone: (612) 746-1530

Specialties

Specialty Code Primary License
Dental Therapist 125J00000X Yes DT135 (MN)

Frequently Asked Questions

NPI 1477145449 is the National Provider Identifier for PARK XIONG, a Dental Therapist provider located in Minneapolis, MN. This NPI was enumerated on February 10, 2021.
PARK XIONG practices at 636 BROADWAY ST NE, Minneapolis, MN 55413.

Quick Facts

NPI
1477145449
Type
Individual
Enumerated
Feb 10, 2021
Last Updated
Feb 10, 2021

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