DR. Grace Park, D.D.S

NPI #1497150999 in Surprise, Arizona

Provider Information

NPI Number: 1497150999
Entity Type: Individual
Name: DR. Grace Park, D.D.S
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S
Enumeration Date: Oct 27, 2014
Last Updated: Oct 27, 2014

Practice Location

Address: 13869 W BELL RD
City: Surprise
State: Arizona
ZIP Code: 85374-2468
Phone: (623) 584-4015

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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