All Medicaid billing entities listing PARK, IAN (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Minnesota | 1 | $451.38 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | IAN PARK DDS PA | MINNETONKA, MN | General Practice Dentistry | $451.38 |