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Ivan Pak, DDS
Student in an Organized Health Care Education/Training Program in Garden City, New York
NPI 1134629900

Ivan Pak is a Student in an Organized Health Care Education/Training Program based in New Hyde Park, NY. Ivan Pak practices in Garden City, NY and has the professional credentials of DDS. The NPI Number for Ivan Pak is 1134629900 and holds a License No. 062441 (New York).

The current practice location address for Ivan Pak is 520 Franklin Ave Ste 112, Garden City, NY and can be reached out via phone at 516-746-3636. You can also correspond with Ivan Pak through the mailing address at 27005 76TH AVE, NEW HYDE PARK, NY - 11040-1402 (mailing address contact number: ).

Location: 520 Franklin Ave Ste 112, Garden City, NY, 11040-1402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134629900
Provider Name
Ivan Pak
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
520 Franklin Ave Ste 112, Garden City, NY, 11040-1402
Phone Number
516-746-3636
Fax Number
Provider Enumeration Date
02/18/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
520 Franklin Ave Ste 112
City
Garden City
State
New York
Zip
11530-5814
Phone Number
516-746-3636
Fax Number
person
Provider Business Mailing Address Details
Address
520 Franklin Ave Ste 112
City
Garden City
State
New York
Zip
11530-5814
Phone Number
516-746-3636
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Endodontics
Taxonomy
1223E0200X
License No.
()
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
062441 (New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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