Thomas Park, DDS

NPI #1063619419 in Seymour, Connecticut

Provider Information

NPI Number: 1063619419
Entity Type: Individual
Name: Thomas Park, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 29, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 134 NEW HAVEN RD
City: Seymour
State: Connecticut
ZIP Code: 06483-3908
Phone: (203) 888-9947

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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