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Individual

JUNG HO PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
472 CENTRAL AVE, JERSEY CITY, NJ 07307-2611
(551) 298-3878
Mailing address
472 CENTRAL AVE, JERSEY CITY, NJ 07307-2611
(551) 298-3878

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI03057600
NJ

Other

Enumeration date
09/30/2024
Last updated
09/30/2024
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