Search › Texas › 122300000X
Se Ha Park, DMD
NPI 1821611989 · on the registry since 2020 · sole proprietor
Practice
- Address
- 2133 Pepperrell St Bldg 3352
Jbsa Lackland, TX 78236 - Phone
- (210) 292-6258
- Clinicians at this address
- 27
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 1223G0001X
390200000X - Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-07-14
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 Texas