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Individual
DR. KWANG MIN PARK
Active
Individual
DR. KWANG MIN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1856730
MA
1223G0001X
General Practice Dentistry
Primary
7470
NV
Other
Enumeration date
09/16/2015
Last updated
10/13/2021
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