Individual
DAVID B PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MD
Contact information
Practice address
260 MIDDLE COUNTRY RD, BUILDING 2, SUITE 12, SELDEN, NY 11784-2568
(631) 696-9752
(631) 696-5096
Mailing address
260 MIDDLE COUNTRY RD, BUILDING 2, SUITE 12, SELDEN, NY 11784-2568
(631) 696-9752
(631) 696-5096
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50051020DDS
NY
Other
Enumeration date
04/11/2008
Last updated
06/11/2009
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