David B Park, DDS MD

NPI #1588837330 in Selden, New York

Provider Information

NPI Number: 1588837330
Entity Type: Individual
Name: David B Park, DDS MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS MD
Enumeration Date: Apr 11, 2008
Last Updated: Jun 11, 2009

Practice Location

Address: 260 MIDDLE COUNTRY RD
Address 2: BUILDING 2, SUITE 12
City: Selden
State: New York
ZIP Code: 11784-2568
Phone: (631) 696-9752

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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