Lawrence Park, DDS

NPI 1992889687 · on the registry since 2006

Practice

Address: 10010 Dupont Circle Ct
Fort Wayne, IN 46825
Phone: (260) 490-4440
Fax: (260) 490-4448
Organisation at this address: R M & M R Stetzel Dds Inc
Gebfert-Park Family Dentistry
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: IN
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 Indiana