Individual
DR. JENNIFER MIJIN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
261 BROAD AVE, PALISADES PARK, NJ 07650-3004
(201) 676-3003
Mailing address
35A EDGEWATER PL, EDGEWATER, NJ 07020-2245
(818) 428-7260
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02726300
NJ
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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