TOM PARK, D.D.S.

Dentist

Active Individual
NPI: 1891961348

Practice Address

105 N JACKSON AVE
#102
San Jose, CA 95116

Phone: (408) 618-8112

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 40385 (CA)

Frequently Asked Questions

NPI 1891961348 is the National Provider Identifier for TOM PARK, D.D.S., a Dentist provider located in San Jose, CA. This NPI was enumerated on May 5, 2008.
TOM PARK, D.D.S. practices at 105 N JACKSON AVE, #102, San Jose, CA 95116.

Quick Facts

NPI
1891961348
Type
Individual
Enumerated
May 5, 2008
Last Updated
Jan 20, 2015

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