DR. Lawrence Eugene Park, DDS
NPI #1992889687 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1992889687
- Entity Type
- Individual
- Name
- DR. Lawrence Eugene Park, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Oct 25, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 10010 DUPONT CIRCLE CT
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46825-1626
- Phone
- (260) 490-4440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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