Etern S Park, DDS, MD
NPI #1124289905 in Fargo, North Dakota
Provider Information
- NPI Number
- 1124289905
- Entity Type
- Individual
- Name
- Etern S Park, DDS, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Credential
- DDS, MD
- Enumeration Date
- Jun 24, 2008
- Last Updated
- Feb 11, 2025
Practice Location
- Address
- 1717 UNIVERSITY DR S
- City
- Fargo
- State
- North Dakota
- ZIP Code
- 58103-4939
- Phone
- (701) 234-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
| Oral & Maxillofacial Surgery |
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