Individual
DR. RICHARD PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
205 E WISCONSIN AVE, MILWAUKEE, WI 53202-4207
(414) 778-3600
Mailing address
6942 LINDNER DR, FRANKLIN, WI 53132-8904
(414) 429-0794
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1002111
WI
Other
Enumeration date
05/30/2019
Last updated
06/14/2022
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