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Individual
WOO KWON PARK
Active
Individual
WOO KWON PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
28444
TX
122300000X
Dentist
61550
CA
Other
Enumeration date
07/25/2012
Last updated
09/11/2014
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