Zivin Park

NPI #1124409560 in Portage, Michigan

Provider Information

NPI Number: 1124409560
Entity Type: Individual
Name: Zivin Park
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Jun 11, 2015
Last Updated: Mar 26, 2021

Practice Location

Address: 5200 S WESTNEDGE AVE
City: Portage
State: Michigan
ZIP Code: 49002
Phone: (269) 382-6656

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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