| Eric S. Park, Dds, Pc | |
|
1126 Bell St Gardnerville NV 89410-5246 | |
| (775) 782-2251 | |
| (775) 782-4501 |
| Full Name | Eric S. Park, Dds, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1126 Bell St, Gardnerville, Nevada |
| Authorized Official Name and Position | Eric Song Joon Park (PRESIDENT) |
| Authorized Official Contact | 7757822251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric S. Park, Dds, Pc 1126 Bell St Gardnerville NV 89410-5246 Ph: (775) 782-2251 | Eric S. Park, Dds, Pc 1126 Bell St Gardnerville NV 89410-5246 Ph: (775) 782-2251 |
| NPI Number | 1134348667 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134348667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4852 (Nevada) | Primary |
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