Individual provider · Type 1 NPI
Wayne M. Park, DDS
General Practice Dentistry · Gardena, CA
NPI number
1568549798
Active
Practice location
15231 S Western Ave
Gardena, CA 90249-4314
Fax (310) 327-1094
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 20247 (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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- Quynhtran Hoang Le, DDSGeneral Practice Dentistry Gardena, CA NPI 1124376579
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- Kazunobu Ernest Terao, DDSGeneral Practice Dentistry Gardena, CA NPI 1194751479
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About NPI 1568549798
Wayne M. Park, DDS's National Provider Identifier is 1568549798, issued on Nov 1, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Gardena, CA. The record was last updated on Jul 8, 2007.