# DENTAL PARK 4 PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Children's Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336710011
- **Authorized official:** DR. CHAN MIN PARK DDS (OWNER)
- **Authorized official phone:** (956) 682-1284

## Contact information

- **Practice address:** 1801 S 5TH ST STE 112, MCALLEN, TX 78503-2919
- **Practice address phone:** (956) 682-1284
- **Practice address fax:** (956) 687-8373
- **Mailing address:** 1801 S 5TH ST STE 112, MCALLEN, TX 78503-2919
- **Mailing address phone:** (956) 682-1284
- **Mailing address fax:** (956) 687-8373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 07/05/2021
- **Last updated:** 07/05/2021