Individual
DR. KWANG MIN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7171 W CRAIG RD STE 102, LAS VEGAS, NV 89129-6018
(702) 655-0331
(702) 655-0377
Mailing address
2660 N BUFFALO DR UNIT 1322, LAS VEGAS, NV 89128-4829
(781) 325-5634
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1856730
MA
1223G0001X
General Practice Dentistry
Primary
7470
NV
Other
Enumeration date
09/16/2015
Last updated
10/13/2021
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