Individual
JAMES PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
125 GRANT ST, LEXINGTON, MA 02420-3714
(650) 817-5769
Mailing address
125 GRANT ST, LEXINGTON, MA 02420-3714
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1858706
MA
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
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