Individual
THOMAS PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
134 NEW HAVEN RD, SEYMOUR, CT 06483-3908
(203) 888-9947
(203) 881-0805
Mailing address
134 NEW HAVEN RD, SEYMOUR, CT 06483-3908
(203) 888-9947
(203) 881-0805
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
008600
CT
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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