Individual
HELEN H PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
390 ROUTE 10, RANDOLPH, NJ 07869-2141
(973) 989-7970
Mailing address
51 GARDEN ST APT 413, HOBOKEN, NJ 07030
(215) 565-6505
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
055617
NY
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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