Individual
TINA PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
11 LAWRENCE RD, NEWTON, NJ 07860-2794
(973) 300-0002
Mailing address
29 8TH ST, ENGLEWOOD CLIFFS, NJ 07632-2404
(626) 244-4294
(201) 947-2888
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
059942
NY
1223P0221X
Pediatric Dentistry
Primary
22DI02785600
NJ
Other
Enumeration date
02/14/2017
Last updated
07/24/2025
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