Individual provider · Type 1 NPI

Joseph Park, DMD

General Practice Dentistry · Clovis, NM

NPI number 1013399484 Active

About NPI 1013399484

Joseph Park, DMD's National Provider Identifier is 1013399484, issued on Jun 22, 2015. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Clovis, NM. The record was last updated on Jun 22, 2015.