Individual
KANG-WOO DANIEL PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
83 PARK ST, MONTCLAIR, NJ 07042-3465
(973) 744-0881
Mailing address
83 PARK ST, MONTCLAIR, NJ 07042-3465
(973) 744-0881
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
061329
NY
122300000X
Dentist
Primary
22DI02997300
NJ
Other
Enumeration date
04/03/2019
Last updated
05/05/2025
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