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
- City
- Fort Cavazos
- State
- Texas
- ZIP Code
- 76544-5095
- Phone
- (631) 742-9838
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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