DR. PAUL PARK, DMD
Dentist - Oral and Maxillofacial Surgery
Active
Individual
NPI: 1306491261
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | No | 0401419061 (VA) |
| Dentist - Oral and Maxillofacial Surgery | 1223S0112X | Yes | 0438000506 (VA) |
Frequently Asked Questions
NPI 1306491261 is the National Provider Identifier for DR. PAUL PARK, DMD, a Dentist - Oral and Maxillofacial Surgery provider located in Fort Gregg-adams, VA. This NPI was enumerated on August 7, 2019.
DR. PAUL PARK, DMD practices at 2601 CLARKE AVE, Fort Gregg-adams, VA 23801.
Quick Facts
- NPI
- 1306491261
- Type
- Individual
- Enumerated
- Aug 7, 2019
- Last Updated
- Jan 6, 2025
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