Individual
JUNG WON PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
212 OLD GRANDE BLVD STE B224, TYLER, TX 75703-4277
(903) 509-0505
Mailing address
11 S MILL ST STE 200, NEW CASTLE, PA 16101-3680
(225) 324-2493
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
37630
TX
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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