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Kwang Min Park

NPI 1194194506 · on the registry since 2015

Practice

Address
7171 W Craig Rd Ste 102
Las Vegas, NV 89129
Phone
(702) 655-0331
Fax
(702) 655-0377
Organisation at this address
Shahrestani Las Vegas Modern Dentistry, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Also registered as
122300000X
Licence states on file
MA, NV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-10-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada