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Mioak Park, D.D.S
NPI 1104961192 · on the registry since 2007 · sole proprietor
Practice
- Address
- 39260 Paseo Padre Pkwy
Fremont, CA 94538 - Phone
- (510) 791-2111
- Fax
- (510) 791-0102
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-06-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California