NPI 1043347677

Linda M Park, DDS

Practitioner Dentist Burton, MI

Practice location

Address: 4300 E Court St, Burton, MI 48509-1808
Phone: (810) 742-5140
Fax: (810) 742-6650
Mailing address: P O Box 90125 4300 E Court St, Burton, MI 48509

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 15447 (MI)

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Registry record

NPI: 1043347677
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.