Park, Mindy

Park, Mindy is an individual health care provider with primary practice located at 8345 Reseda Blvd. #101 , Northridge CA 91324. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is her primary health care specialty. Park, Mindy can be contacted via phone (818) 576-9990.

Contact Information

Primary practice address
8345 Reseda Blvd. #101 Northridge CA 91324
Phone: (818) 576-9990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 54241 California
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 54241 California

Profile Details

NPI number 1417257767
LBN Legal business name Park, Mindy
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2010
Last updated Oct 11th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers