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Jacob Park, D.D.S

NPI 1134342629 · on the registry since 2007 · sole proprietor

Practice

Address
7434 Louis Pasteur Dr
Suite 303
San Antonio, TX 78229
Phone
(210) 615-7224
Fax
(210) 615-7229
Organisation at this address
Ps3a Llc
Rh Center Llc
Murthy Gedala Pllc
Joseph M Montaldi, Llc
Dominador - Willie Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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 Texas