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Ian A. Park, DDS

General Dentistry · Minnetonka, MN

UnclaimedDDSNPI 1861494791
Primary taxonomy
1223G0001X
Enumerated
2005-08-11
Practice location
Minnetonka, MN
Last NPPES update
2007-07-08

Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.