Grace Eunkyoung Park in Gresham - Dentist
Grace Eunkyoung Park - NPI 1871602722
Grace Eunkyoung Park is a Dentist in Gresham, Oregon. Grace Eunkyoung Park practices all healthcare services and medical treatments related to Dentist. The NPI Number for Grace Eunkyoung Park is 1871602722. The last update date is 2007-07-08.
Grace Eunkyoung Park's current location address is 1024 Sw Highland Dr, Gresham, Oregon. You can contact this provider via phone number 5034927798 and fax number 5034929020. The mailing address for Grace Eunkyoung Park is 1024 Sw Highland Dr, Gresham, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Grace Eunkyoung Park |
|---|---|
| Address | 1024 Sw Highland Dr, Gresham, Oregon |
| Phone Number | 5034927798 |
| Fax Number | 5034929020 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1871602722 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1024 Sw Highland Dr |
|---|---|
| City | Gresham |
| State | Oregon (OR) |
| Post Code | 970806353 |
| Phone Number | 5034927798 |
| Fax Number | 5034929020 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D6881 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identification code assigned to Grace Eunkyoung Park by the Centers for Medicare & Medicaid Services?
The Grace Eunkyoung Park has been issued the NPI (National Provider Identifier) 1871602722. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Grace Eunkyoung Park is physically located?
The Grace Eunkyoung Park is physically situated at the following address: 1024 Sw Highland Dr, Gresham, OR, 970806353.
What is Grace Eunkyoung Park's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Grace Eunkyoung Park is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
When was the Grace Eunkyoung Park's 1871602722 issued?
The Grace Eunkyoung Park's 1871602722 was issued on 2006-08-30.
When was the information related to Grace Eunkyoung Park most recently updated or refreshed?
The details pertaining to the Grace Eunkyoung Park, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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