Madeleine Park

NPI #1104526193 in Sheridan, Colorado

Provider Information

NPI Number: 1104526193
Entity Type: Individual
Name: Madeleine Park
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Mar 8, 2023
Last Updated: Aug 15, 2024

Practice Location

Address: 3960 RIVER POINT PKWY UNIT A
City: Sheridan
State: Colorado
ZIP Code: 80110-3315
Phone: (303) 781-2340

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist	122300000X	Primary

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