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Andrew C Park, DMD
Endodontist in Twenty Nine Palms, California
NPI 1407040116

Andrew C Park is a Endodontist based in Bethesda, CA and is specialized in Endodontics. Andrew C Park practices in Twenty Nine Palms, CA and has the professional credentials of DMD. The NPI Number for Andrew C Park is 1407040116 and holds a License No. (California).

The current practice location address for Andrew C Park is 1591 Griffin Rd, Twenty Nine Palms, CA and can be reached out via phone at 760-830-7054.

Location: 1591 Griffin Rd, Twenty Nine Palms, CA, 20889-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407040116
Provider Name
Andrew C Park
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1591 Griffin Rd, Twenty Nine Palms, CA, 20889-0001
Phone Number
760-830-7054
Fax Number
Provider Enumeration Date
09/05/2007
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
1591 Griffin Rd
City
Twenty Nine Palms
State
California
Zip
92278
Phone Number
760-830-7054
Fax Number
person
Provider Business Mailing Address Details
Address
1591 Griffin Rd
City
Twenty Nine Palms
State
California
Zip
92278
Phone Number
760-830-7054
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Endodontics
Taxonomy
1223E0200X
License No.
59312 (California)
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.
()
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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