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Individual
DR. JAE E. PARK-LIN
Active
Individual
DR. JAE E. PARK-LIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
48532
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48532
CA. STATE PRISON SOLANO
CA
Enumeration date
12/21/2007
Last updated
01/08/2008
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