Individual
JOHN JUWON PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4 EXECUTIVE PARK DR, ALBANY, NY 12203
(347) 408-8673
Mailing address
255 PATROON CREEK BLVD APT 1405, ALBANY, NY 12206-5019
(347) 408-8673
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
056491
NY
Other
Enumeration date
10/22/2008
Last updated
05/17/2018
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