Soo Tae Park, DDS

Dentist · Lancaster, CA

Individual Active NPI

NPI number 1124084728

Practice location

44841 N 10TH St W
Lancaster, CA 93534
Phone
(661) 948-1655
Fax
(661) 940-9636

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NPI record

NPI
1124084728
Entity type
Individual (Type 1)
Enumeration date
April 22, 2006
Last updated
October 9, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 33967 CA

About Dr. Park

Soo Tae Park, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 44841 N 10TH St W, Lancaster, CA 93534. The NPI number 1124084728 was assigned on April 22, 2006 and the record was last updated on October 9, 2013.

Dr. Park lists a license in the registry: #33967 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Soo Tae Park, DDS?

The NPI number is 1124084728.

What is the phone number of Dr. Park?

The phone number listed for the practice location is (661) 948-1655.

Where is Dr. Park located?

44841 N 10TH St W, Lancaster, CA 93534.

What is the taxonomy code for Dr. Park?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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