SearchArizonaGeneral Practice Dentistry

Jenna Park, DMD

NPI 1356912448 · on the registry since 2021 · sole proprietor

Practice

Address
7701 E Broadway Blvd
Tucson, AZ 85710
Phone
(520) 917-2045
Organisation at this address
Western Dental Of Arizona, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-07-08

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 Arizona