Individual
DR. DARRELL J PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
200 BUTTERCUP CREEK BLVD, #111, CEDAR PARK, TX 78613-3708
(512) 335-8121
(512) 335-0186
Mailing address
200 BUTTERCUP CREEK BLVD, #111, CEDAR PARK, TX 78613-3708
(512) 335-8121
(512) 335-0186
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20996
TX
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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