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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MIOAK K. PARK, D.D.S.

Active Sole Proprietor

DR. MIOAK K. PARK, D.D.S. is a General Dentistry healthcare provider located in FREMONT, California. NPI 1104961192 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · FREMONT, CA

Registration Details

NPI Number
1104961192
Provider Type
Individual
Gender
Female
NPI Issued
Feb 20, 2007 (19.505321701856 yrs)
Last Updated
Jun 1, 2011
License
43837 (CA)
Sole Proprietor
Yes

Practice Information

Address
39260 PASEO PADRE PKWY
FREMONT, CA, 945381616
Browse CA providers · Browse ZIP 94538
Phone
5107912111
Fax
5107910102
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in FREMONT, CA

Name Credential NPI
DR. LAURIE SUSAN THOMAS DMD 1154328854
MARIA CONSUELO LIPUMANO SOBREPENA D.M.D. 1366431736
DR. BENJAMIN JASON CHEW D.D.S. 1275523466
DR. SHAKEELA KHAN DDS 1780662890
MICHAEL TANCIO DMD 1093733826
DR. VIRGILIO SERRA BAUTISTA D.M.D. 1396763991
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.