# JENNY PARK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1407296965
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS039525 | PA | Yes |

## Other

- **Enumeration date:** 06/28/2013
- **Last updated:** 07/31/2025