DR. DOUGLAS PARK, DDS
Dentist - Pediatric Dentistry
Active
Individual
NPI: 1366521122
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Pediatric Dentistry | 1223P0221X | Yes | D6620 (OR) |
Frequently Asked Questions
NPI 1366521122 is the National Provider Identifier for DR. DOUGLAS PARK, DDS, a Dentist - Pediatric Dentistry provider located in Gresham, OR. This NPI was enumerated on November 3, 2006.
DR. DOUGLAS PARK, DDS practices at 1201 SE 223RD AVE, SUITE 240, Gresham, OR 97030.
Quick Facts
- NPI
- 1366521122
- Type
- Individual
- Enumerated
- Nov 3, 2006
- Last Updated
- Jul 8, 2007
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