Individual
JESSICA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
925 N ELDRIDGE PKWY STE 1N353, HOUSTON, TX 77079-2703
(281) 643-7878
Mailing address
4307 COTTONWOOD CREEK LN, MANVEL, TX 77578-2035
(626) 827-2455
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
37436
TX
Other
Enumeration date
07/16/2021
Last updated
10/15/2024
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