Individual
DR. JILL PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45 MARIANO BISHOP BLVD, FALL RIVER, MA 02721-2346
(781) 580-9081
Mailing address
400 TECHNOLOGY CENTER DR, APT #4209, STOUGHTON, MA 02072-4714
(781) 580-9081
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1855958
MA
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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