Individual
ALBERT CHRISTOPHER PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2902 S 27TH ST, ABILENE, TX 79605-6330
(325) 268-0013
Mailing address
4333 ANTILLEY RD APT 515, ABILENE, TX 79606-6054
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
019030279
IL
1223P0700X
Prosthodontics
Primary
34640
TX
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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