Organization
ERIC S. PARK, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC SONG JOON PARK D.D.S. (PRESIDENT)
(775) 782-2251
Entity
Organization
Contact information
Practice address
1126 BELL ST, GARDNERVILLE, NV 89410-5246
(775) 782-2251
(775) 782-4501
Mailing address
1126 BELL ST, GARDNERVILLE, NV 89410-5246
(775) 782-2251
(775) 782-4501
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4852
NV
Other
Enumeration date
04/24/2007
Last updated
08/22/2020
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