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Individual

HAERI PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
22541 GRATIOT AVE, EASTPOINTE, MI 48021-2360
(586) 777-0001
Mailing address
350 N CLARK ST FL 6, CHICAGO, IL 60654-4712

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901022710
MI

Other

Enumeration date
06/13/2018
Last updated
06/13/2018
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