DR. Richard I. Park, DMD

NPI #1306843669 in Portland, Oregon

Provider Information

NPI Number
1306843669
Entity Type
Individual
Name
DR. Richard I. Park, DMD
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - Pediatric Dentistry
Credential
DMD
Enumeration Date
Jul 1, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
5415 SW WESTGATE DR
Address 2
SUITE 207
State
Oregon
ZIP Code
97221-2409
Phone
(503) 292-9274

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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