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Organization
JP DENTAL GROUP PLLC
Active
Organization
JP DENTAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIN PARK (DMD)
(267) 210-2725
Entity
Organization
Contact information
Practice address
3613 HULEN ST, FORT WORTH, TX 76107-6813
(267) 210-2725
Mailing address
3613 HULEN ST, FORT WORTH, TX 76107-6813
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29792
TX
Other
Enumeration date
04/02/2015
Last updated
04/02/2015
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