DR. Mavis Ho Park, DDS

NPI #1902526262 in Fort Cavazos, Texas

Provider Information

NPI Number
1902526262
Entity Type
Individual
Name
DR. Mavis Ho Park, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Aug 29, 2022
Last Updated
Aug 29, 2024

Practice Location

Address
36000 DARNALL LOOP
State
Texas
ZIP Code
76544-5095
Phone
(631) 742-9838

Specialties & Taxonomy Codes

Specialty
Dentist

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