Individual
DAMIN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
120 EAST AVE STE 3E, NORWALK, CT 06851-5786
(203) 635-6300
Mailing address
120 EAST AVE STE 3E, NORWALK, CT 06851-5786
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1859113
MA
1223E0200X
Endodontics
Primary
13953
CT
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DR61069032
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
WA
Other
Enumeration date
04/13/2020
Last updated
08/21/2025
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