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Contact Information

DAVID Y PARK, DDS
1331 CRANE ST.
UNIT 413
MENLO PARK, CA94025
 Phone: 425-224-6598
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for DAVID Y PARK · (Male)

NPI # 1013043777
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 02/26/2007
Last updated 09/03/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # 105049
  • WA License # DE7629
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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