Individual
DR. LUCY H PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5303 S MASON RD, 2524, KATY, TX 77450-7150
(213) 590-8578
Mailing address
5303 S MASON RD, 2524, KATY, TX 77450-7150
(213) 590-8578
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
28547
TX
1223G0001X
General Practice Dentistry
28547
TX
Other
Enumeration date
06/10/2009
Last updated
02/03/2014
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