Etern S. Park, DDS, MD
Oral & Maxillofacial Surgery · Fargo, ND
UnclaimedDDS, MDNPI 1124289905
- Primary taxonomy
- 1223S0112X
- Enumerated
- 2008-06-24
- Practice location
- Fargo, ND
- Last NPPES update
- 2025-02-11
State licenses
- DE · Dentist · NPPES self-reportedListed on NPI record
- DE · Dentist · NPPES self-reportedListed on NPI record
- ND · Dentist · NPPES self-reportedListed on NPI record
- ND · Dentist · NPPES self-reportedListed on NPI record
- NY · Dentist · NPPES self-reportedListed on NPI record
- NY · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.