Organization · Type 2 NPI
Tae Een Park,d.d.s.,inc
Dental Clinic/Center · Oakdale, CA
NPI number
1063889558
Active
Practice location
190 S Oak Ave Ste 6
Oakdale, CA 95361-3528
Fax (209) 847-2929
Mailing address
190 S. Oak Ave Bldg 3 Ste 6
Oakdale, CA 95361
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 56889 (CA) |
Dental Clinic/Center: Definition to come...
Another provider at this address
Other dental clinic/center providers in Oakdale
About NPI 1063889558
Tae Een Park,d.d.s.,inc's National Provider Identifier is 1063889558, issued on Aug 31, 2015. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Oakdale, CA. The record was last updated on Aug 31, 2015.