GRACE PARK, DMD
Dentist
Active
Individual
NPI: 1871602722
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | D6881 (OR) |
Frequently Asked Questions
NPI 1871602722 is the National Provider Identifier for GRACE PARK, DMD, a Dentist provider located in Gresham, OR. This NPI was enumerated on August 30, 2006.
GRACE PARK, DMD practices at 1024 SW HIGHLAND DR, #A, Gresham, OR 97080.
Quick Facts
- NPI
- 1871602722
- Type
- Individual
- Enumerated
- Aug 30, 2006
- Last Updated
- Jul 8, 2007
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