SIMON PARK DMD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY PERMIT FOR VISITING DENTIST FOR FREE DENTAL CARE

License Number

175000022

License Status

EXPIRED

Business

Title

DMD

First Name

SIMON

Last Name

PARK

Business Name

SIMON PARK DMD

Original Issue Date

01/25/2024

Effective Date

01/25/2024

Expiration Date

12/31/2024

City

PRESCOTT VALLEY

State

Zip

86314

Ever Disciplined

LastModifiedDate

10/29/2025