Individual
DR. LINDA M PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4300 E COURT ST, BURTON, MI 48509-1808
(810) 742-5140
(810) 742-6650
Mailing address
P O BOX 90125, 4300 E COURT ST, BURTON, MI 48509
(810) 742-5140
(810) 742-6650
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15447
MI
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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