Individual
YOUJIN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4173 PATTERSON AVE, BALTIMORE, MD 21215-2221
(678) 816-4917
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16469
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/07/2016
Last updated
07/21/2022
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