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Individual
JIN WOO PAK
Active
Individual
JIN WOO PAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9829781-9921
UT
Other
Enumeration date
08/22/2016
Last updated
06/29/2023
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