ETERN PARK, DDS, MD
Dentist - Oral and Maxillofacial Surgery
Active
Individual
NPI: 1124289905
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Oral and Maxillofacial Surgery | 1223S0112X | Yes | 053210 (NY) |
| Oral & Maxillofacial Surgery | 204E00000X | No | 269333 (NY) |
Frequently Asked Questions
NPI 1124289905 is the National Provider Identifier for ETERN PARK, DDS, MD, a Dentist - Oral and Maxillofacial Surgery provider located in Fargo, ND. This NPI was enumerated on June 24, 2008.
ETERN PARK, DDS, MD practices at 1717 UNIVERSITY DR S, Fargo, ND 58103.
Quick Facts
- NPI
- 1124289905
- Type
- Individual
- Enumerated
- Jun 24, 2008
- Last Updated
- Feb 11, 2025
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