Doctor profile · Federal record
Dr. Mioak Park, D.D.S.
General Practice Dentistry · Fremont, CA
- NPI 1104961192
- 19 yrs on file
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
39260 Paseo Padre Pkwy
Fremont, CA 945381616
(510) 791-2111
fax (510) 791-0102
Credentials & registration
- NPI registered
- February 2007 — 19 yrs on file
- Profile last updated
- June 1, 2011
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- California #43837
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104961192. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$29
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Straumann USA LLC | 1 | $29.10 |
By nature of payment
Frequently asked questions
What is Dr. Mioak Park's medical specialty?
Dr. Mioak Park practices General Practice Dentistry in Fremont, CA.
Where does Dr. Mioak Park practice?
Dr. Mioak Park practices at 39260 Paseo Padre Pkwy, Fremont, CA 945381616. Office phone: 5107912111.
What is Dr. Mioak Park's NPI?
Dr. Mioak Park's National Provider Identifier (NPI) is 1104961192, issued by NPPES.