Individual
DR. MINDY PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8345 RESEDA BLVD. #101, NORTHRIDGE, CA 91324
(818) 576-9990
Mailing address
8345 RESEDA BLVD. #101, NORTHRIDGE, CA 91324
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
54241
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
54241
CA
Other
Enumeration date
11/02/2010
Last updated
10/11/2023
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