Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAE H PARK, DDS
Active Sole ProprietorTAE H PARK, DDS is a General Dentistry healthcare provider located in FRESNO, California. NPI 1790870996 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · FRESNO, CA
Registration Details
- NPI Number
- 1790870996
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2006 (19.875938189301 yrs)
- Last Updated
- Mar 27, 2009
- License
-
48659 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1875 E ALLUVIAL AVESUITE 102FRESNO, CA, 937203856Browse CA providers · Browse ZIP 93720
- Phone
- 5593250700
- Fax
- 5592400907
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in FRESNO, CA
| Name | Credential | NPI |
|---|---|---|
| MR. ALLEN HIRCH SIMMONS | D.D.S. | 1164421657 |
| SERGIEI BROUNTCHENKO | DDS | 1740272970 |
| DR. GREGORY MIYAKE | DDS | 1003800137 |
| DR. TREVA DIANE LEE | DDS | 1952399248 |
| DR. XAVIER J. GUTIERREZ | DDS | 1225027758 |
| THERESA HANH DANG BENTLEY | — | 1154392769 |
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.