DR. Simon Park, DMD
NPI #1962051292 in Prescott Valley, Arizona
Provider Information
- NPI Number
- 1962051292
- Entity Type
- Individual
- Name
- DR. Simon Park, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DMD
- Enumeration Date
- Sep 9, 2019
- Last Updated
- Aug 24, 2022
Practice Location
- Address
- 7584 E STATE ROUTE 69
- City
- Prescott Valley
- State
- Arizona
- ZIP Code
- 86314-2278
- Phone
- (928) 499-3061
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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