Individual
BYUNGCHUL PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
258 S FRONTAGE RD, NEW LONDON, CT 06320-2641
(860) 437-3462
Mailing address
258 S FRONTAGE RD, NEW LONDON, CT 06320-2641
(860) 437-3462
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
011494
CT
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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