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Dr. Eric Song Joon Park, DDS
General Practice Dentistry in South Lake Tahoe, California
NPI 1356560916

Eric Song Joon Park is a General Practice Dentistry based in South Lake Tahoe, CA and is specialized in General Practice. Eric Song Joon Park practices in South Lake Tahoe, CA and has the professional credentials of DDS. The NPI Number for Eric Song Joon Park is 1356560916 and holds a License No. 48533 (California).

The current practice location address for Eric Song Joon Park is 2180 Lake Tahoe Blvd, South Lake Tahoe, CA and can be reached out via phone at 530-541-3893.

Location: 2180 Lake Tahoe Blvd, South Lake Tahoe, CA, 96150-6418
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356560916
Provider Name
Eric Song Joon Park
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2180 Lake Tahoe Blvd, South Lake Tahoe, CA, 96150-6418
Phone Number
530-541-3893
Fax Number
Provider Enumeration Date
04/24/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2180 Lake Tahoe Blvd
City
South Lake Tahoe
State
California
Zip
96150-6418
Phone Number
530-541-3893
Fax Number
person
Provider Business Mailing Address Details
Address
2180 Lake Tahoe Blvd
City
South Lake Tahoe
State
California
Zip
96150-6418
Phone Number
530-541-3893
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
48533 (California)
Definition
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.
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