Individual
DR. DONALD THOMAS PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4103 10TH ST, MENOMINEE, MI 49858-1309
(906) 863-2206
(906) 863-6389
Mailing address
4103 10TH ST, MENOMINEE, MI 49858-1309
(906) 863-2206
(906) 863-6389
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901017418
MI
Other
Enumeration date
04/18/2007
Last updated
05/15/2024
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