Individual provider · Type 1 NPI

Matthew Park, DMD

General Practice Dentistry · Portland, OR

NPI number 1265682215 Active

About NPI 1265682215

Matthew Park, DMD's National Provider Identifier is 1265682215, issued on Sep 26, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Portland, OR. The record was last updated on Oct 25, 2011.