| NPI | 1063026235 |
|---|---|
| Professional Name | SCOTT PARK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: GA DN123656) |
| Additional Taxonomies | 1223E0200X Dentist Endodontics (Licence: NY 061292) |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2025-06-29 |