Individual provider · Type 1 NPI
Michael H. Park, DDS
Pediatric Dentistry · Palos Verdes Estates, CA
NPI number
1194270231
Active
Practice location
702 Via Del Monte
Palos Verdes Estates, CA 90274-1612
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry | 1223P0221X | 22DI02672200 (NJ) |
| Pediatric Dentistry Primary | 1223P0221X | 106120 (CA) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
About NPI 1194270231
Michael H. Park, DDS's National Provider Identifier is 1194270231, issued on Aug 18, 2016. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Palos Verdes Estates, CA. The record was last updated on Jun 2, 2021.