Wonpyo Eric Park D.D.S

NPI 1033257233 - Dentist - 1223G0001X

NPI Details
NPI 1033257233
Gender Male
Enumeration Date 02/01/2007
Last Updated 04/23/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
6165 LEHMAN DR STE 100
COLORADO SPRINGS CO, 80918-5405, US
Phone (719) 536-0599
Fax (719) 522-0396
Business Location
9771 S EASTERN AVE STE 100
LAS VEGAS NV, 89183-6801, US
Phone (702) 616-9655
Fax (702) 837-1302
Toxanomy
Taxonomy Code 1223G0001X
License State Nevada
License Number 4956T
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According to our database, Dr. Wonpyo Eric Park D.D.S NPI is 1033257233, taxonomy code is 1223G0001X and license number is 4956T, license state is located at Nevada. Wonpyo Eric Park D.D.S physically located at 6165 Lehman Dr Ste 100, Colorado Springs CO, 80918-5405. NPI Number Wonpyo Eric Park D.D.S has the Individual type.

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1033257233 NPI number is provided on an as is basis without warranty of any kind. 1033257233 is maintained by the National Plan & Provider Enumeration System. The contents of Wonpyo Eric Park D.D.S are for informational purposes only.