Individual
DR. JACOB GYEONGIL PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7434 LOUIS PASTEUR DR, SUITE 303, SAN ANTONIO, TX 78229-4538
(210) 615-7224
(210) 615-7229
Mailing address
7434 LOUIS PASTEUR DR, SUITE 303, SAN ANTONIO, TX 78229-4538
(210) 615-7224
(210) 615-7229
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17106
TX
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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