Dr. Dong S Park
Periodontist
618th Dental Company Unit #15652, Credentials Office
Apo Ap
, California 96205
Dr. Dong S Park
Periodontist
618th Dental Company Unit #15652, Credentials Office
Apo Ap
, California 96205
(315) 736-7703
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Dong S Park
- 618th Dental Company Unit #15652, Credentials Office
- Apo Ap, CA
- Zip : 96205
- Fax : (315) 736-7703
- Phone : (315) 736-8803
Second Address
- Dr. Dong S Park
- 618th Dental Company Unit #15652, Credentials Office
- Apo Ap, CA
- Zip : 96205
- Fax : (315) 736-7703
- Phone : (315) 736-8803
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | DE00007735 | WA |
National Provider Identifier
| NPI | 1013963230 |
|---|---|
| Provider Name | Dr. Dong S Park |
| First Address | Apo Ap, CA 96205 |
| Second Address | Apo Ap, CA 96205 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/05/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.