DR. Mindy Park, DDS

NPI #1417257767 in Northridge, California

Provider Information

NPI Number: 1417257767
Entity Type: Individual
Name: DR. Mindy Park, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Credential: DDS
Enumeration Date: Nov 2, 2010
Last Updated: Oct 11, 2023

Practice Location

Address: 8345 RESEDA BLVD. #101
City: Northridge
State: California
ZIP Code: 91324
Phone: (818) 576-9990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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