# DR. KONY PARK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1730433830
- **Gender:** Man
- **Credential:** D.M.D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 36695 | TX | Yes |

## Other

- **Enumeration date:** 10/29/2012
- **Last updated:** 01/16/2024
