Individual provider · Type 1 NPI
Eric Song Joon Park, DDS
General Practice Dentistry · South Lake Tahoe, CA
NPI number
1356560916
Active
Practice location
2180 Lake Tahoe Blvd
South Lake Tahoe, CA 96150-6418
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 48533 (CA) |
| General Practice Dentistry | 1223G0001X | 4852 (NV) |
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 1356560916
Eric Song Joon Park, DDS's National Provider Identifier is 1356560916, issued on Apr 24, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in South Lake Tahoe, CA. The record was last updated on Jul 8, 2007.