DR. Douglas Lee Park, DDS

NPI #1366521122 in Gresham, Oregon

Provider Information

NPI Number
1366521122
Entity Type
Individual
Name
DR. Douglas Lee Park, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Pediatric Dentistry
Credential
DDS
Enumeration Date
Nov 3, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1201 SE 223RD AVE
Address 2
SUITE 240
State
Oregon
ZIP Code
97030
Phone
(503) 666-9800

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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