DR. Heather Hana Park, DDS
NPI #1053967794 in La Quinta, California
Provider Information
- NPI Number
- 1053967794
- Entity Type
- Individual
- Name
- DR. Heather Hana Park, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Aug 16, 2019
- Last Updated
- Aug 16, 2019
Practice Location
- Address
- 78595 HIGHWAY 111 STE 300
- City
- La Quinta
- State
- California
- ZIP Code
- 92253-2084
- Phone
- (760) 771-0300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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