Paul Park

NPI 1215311832 · on the registry since 2015

Practice

Address: 72724 29 Palms Hwy Ste 102
Twentynine Palms, CA 92277
Phone: (760) 367-9531
Organisation at this address: Mdm Pharmacy Services 2
Mdm Pharmacy Services 2
Han And Kim Dental Corp
Ronald E. Green, Dds. Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-07-14

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