Ariel Rachel Park, DMD

NPI #1619524857 in Longview, Washington

Provider Information

NPI Number: 1619524857
Entity Type: Individual
Name: Ariel Rachel Park, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Aug 22, 2019
Last Updated: Dec 11, 2023

Practice Location

Address: 1057 12TH AVE
City: Longview
State: Washington
ZIP Code: 98632-2509
Phone: (360) 414-1300

Specialties & Taxonomy Codes

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

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