BRIAN PARK

SOUTHAMPTON, NY
NPI1689842379
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  051949)
Enumeration Date2008-02-14
Last Update Date2009-06-03
Business Address
Dr. BRIAN PARK DDS
325 MEETING HOUSE LN BLDG #2 SUITE 401
SOUTHAMPTON, NY 11968-5087
Phone number: 631-283-0352
Mailing Address
Dr. BRIAN PARK DDS
31 MARTIN PL
SYOSSET, NY 11791-6712
Phone number: 718-926-5398