MICHAEL ALLEN PARK

LONGMONT, CO
NPI1659439776
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CO  8204)
Enumeration Date2006-12-04
Last Update Date2007-07-08
Business Address
Dr. MICHAEL ALLEN PARK dds
541 MAIN ST
LONGMONT, CO 80501-5536
Phone number: 303-776-3030
Mailing Address
Dr. MICHAEL ALLEN PARK dds
541 MAIN ST
LONGMONT, CO 80501-5536
Phone number: 303-776-3030