Individual
HA EUN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1275 N TRUMAN BLVD, FESTUS, MO 63028-1176
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2025019296
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2023
Last updated
06/24/2025
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