Susan N. Park, DMD
NPI #1093866477 in Fort Myers Beach, Florida
Provider Information
- NPI Number
- 1093866477
- Entity Type
- Individual
- Name
- Susan N. Park, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Jan 14, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1661 ESTERO BLVD
- Address 2
- SUITE 29
- City
- Fort Myers Beach
- State
- Florida
- ZIP Code
- 33931-2846
- Phone
- (239) 463-5433
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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