DR. Michael David Park, DDS is a general practice dentist in Los Angeles, 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. DR. Michael David Park, DDS NPI is 1730135641. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1200 N VERMONT AVE
SUITE B
LOS ANGELES, CA
ZIP 90029-760
Phone: (323) 665-5749
Fax: (323) 665-5740
The NPI 1730135641 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 5/25/2006 and was last updated on 7/8/2007.