person
Ellen Park, DDS
Student in an Organized Health Care Education/Training Program in Rochester, New York
NPI 1619075413

Ellen Park is a Student in an Organized Health Care Education/Training Program based in Rochester, NY. Ellen Park practices in Rochester, NY and has the professional credentials of DDS. The NPI Number for Ellen Park is 1619075413 and holds a License No. (New York).

The current practice location address for Ellen Park is 625 Elmwood Ave, Rochester, NY and can be reached out via phone at 585-275-5087. You can also correspond with Ellen Park through the mailing address at 625 ELMWOOD AVE, ROCHESTER, NY - 14620-2913 (mailing address contact number: 585-275-5087).

Location: 625 Elmwood Ave, Rochester, NY, 14620-2913
person
Provider Profile Details
NPI Number
1619075413
Provider Name
Ellen Park
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
625 Elmwood Ave, Rochester, NY, 14620-2913
Phone Number
585-275-5087
Fax Number
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
625 Elmwood Ave
City
State
Zip
14620-2913
Phone Number
585-275-5087
Fax Number
person
Provider Business Mailing Address Details
Address
625 Elmwood Ave
City
State
Zip
14620-2913
Phone Number
585-275-5087
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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