Individual provider · Type 1 NPI

Mioak K. Park, DDS

General Practice Dentistry · Fremont, CA

NPI number 1104961192 Active

Practice location

39260 Paseo Padre Pkwy
Fremont, CA 94538-1616

Call (510) 791-2111 Map

Fax (510) 791-0102

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X43837 (CA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1104961192

Mioak K. Park, DDS's National Provider Identifier is 1104961192, issued on Feb 20, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fremont, CA. The record was last updated on Jun 1, 2011.