Individual
DR. CHONGMIN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
14340 38TH AVE, 201, FLUSHING, NY 11354-5759
(718) 762-3361
Mailing address
14340 38TH AVE, 201, FLUSHING, NY 11354-5759
(718) 762-3361
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
050303
NY
Other
Enumeration date
03/17/2007
Last updated
11/04/2008
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