Individual
ENYOUNG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3711 QUEENS BLVD, LONG ISLAND CITY, NY 11101-1725
(718) 361-5155
Mailing address
230 W 55TH ST, APT 16E, NEW YORK, NY 10019-5220
(646) 942-2245
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
P64476
NY
Other
Enumeration date
10/01/2008
Last updated
09/21/2009
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