| Daniel I Park | |
|
2200 Defense Hwy Ste 208 Crofton MD 21114-2927 | |
| (410) 721-0790 | |
| (443) 292-4214 |
| Full Name | Daniel I Park |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2200 Defense Hwy Ste 208, Crofton, Maryland |
| Authorized Official Name and Position | Daniel I Park (PRESIDENT) |
| Authorized Official Contact | 4107210790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel I Park 2200 Defense Hwy Ste 208 Crofton MD 21114-2927 Ph: (410) 721-0790 | Daniel I Park 2200 Defense Hwy Ste 208 Crofton MD 21114-2927 Ph: (410) 721-0790 |
| NPI Number | 1780532309 |
|---|---|
| Provider Enumeration Date | 03/19/2026 |
| Last Update Date | 03/19/2026 |
| Certification Date | 03/19/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780532309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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