Most Relevant Information
Provider Data
| NPI Number: | 1003042649 |
| Provider Name: | LUCY H PARK D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 1223D0004X |
| Specialty: | Dentist |
| License Number: | 28547 |
Most Important Dates
| Enumeration Date: | 06/10/2009 |
| Last Updated: | 02/03/2014 |
Provider Practice Location
5303 S MASON RD
2524
KATY
TX
774507150
Practice Location Phone/Fax
| Phone: | 2135908578 |
| Fax: |
Provider Mailing Location
5303 S MASON RD
2524
KATY
TX
774507150
Provider Mailing Phone/Fax
| Phone: | 2135908578 |
| Fax: |