Simon Sangbeom Park
Dentist in Irving, TX. Individual provider (NPI-1).
NPI number1124963293
StatusActive
Last updated in NPPESJul 1, 2026
Details
- NPI
- 1124963293
- Entity type
- Individual (NPI-1)
- Name
- Simon Sangbeom Park
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 23, 2026
- Certification date
- Jul 1, 2026
- Last updated
- Jul 1, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 42590 | TX | Yes |
Practice location
8505 Freeport Pkwy Ste 600Irving, TX 75063-2549
Phone 432-242-5540
Mailing address
8505 Freeport Pkwy Ste 600Irving, TX 75063-2549
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