Individual provider · Type 1 NPI

Enyoung Park, DDS

General Practice Dentistry · Long Island City, NY

NPI number 1306097993 Active

Practice location

3711 Queens Blvd
Long Island City, NY 11101-1725

Mailing address

230 W 55th St, Apt 16E
New York, NY 10019-5220

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XP64476 (NY)

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 1306097993

Enyoung Park, DDS's National Provider Identifier is 1306097993, issued on Oct 1, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Long Island City, NY. The record was last updated on Sep 21, 2009.