ALLYSON JISONG PARK DDS NPI 1568719011

NPI Information

Allyson Jisong Park, DDS is a general practice dentist in Carlsbad, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Allyson Jisong Park, DDS NPI is 1568719011. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2635 GATEWAY RD STE 101
CARLSBAD, CA
ZIP 92009-753
Phone: (760) 431-8112

The NPI 1568719011 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/14/2012 and was last updated on 8/11/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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