Ivan Pak, DDS
NPI #1134629900 in Garden City, New York
Provider Information
- NPI Number
- 1134629900
- Entity Type
- Individual
- Name
- Ivan Pak, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Endodontics
- Credential
- DDS
- Enumeration Date
- Feb 18, 2018
- Last Updated
- Aug 16, 2022
Practice Location
- Address
- 520 FRANKLIN AVE STE 112
- City
- Garden City
- State
- New York
- ZIP Code
- 11530-5814
- Phone
- (516) 746-3636
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Endodontics — Endodontics |
| Student in an Organized Health Care Education/Training Program |
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