Organization · Type 2 NPI
Mindy Park DDS Inc
Dental Clinic/Center · Northridge, CA
NPI number
1063231090
Active
Practice location
8345 Reseda Blvd Ste 101
Northridge, CA 91324-4648
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1063231090
Mindy Park DDS Inc's National Provider Identifier is 1063231090, issued on Oct 7, 2024. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Northridge, CA. The record was last updated on Oct 7, 2024.