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Individual
NAM HEE AVA PARK
Active
Individual
NAM HEE AVA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
010437
CT
1223G0001X
General Practice Dentistry
056393
NY
1223G0001X
General Practice Dentistry
056393-1
NY
1223G0001X
General Practice Dentistry
Primary
109144
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04401850
—
NY
Enumeration date
01/05/2011
Last updated
08/13/2025
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