Individual
JINWOO MICHAEL PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
408 KNICKERBOCKER AVE FL 2, BROOKLYN, NY 11237
(718) 573-3333
Mailing address
16 STUYVESANT OVAL APT 6B, NEW YORK, NY 10009-2238
(646) 727-6981
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
060007
NY
Other
Enumeration date
06/23/2017
Last updated
07/21/2022
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