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Individual

DR. BYUNG HAK PAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1645 GRAND CONCOURSE, BRONX, NY 10452-5810
(718) 299-7012
Mailing address
14720 35TH AVE, APT. 9C, FLUSHING, NY 11354-3700
(347) 495-1018

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
051513
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02631845
NY
Enumeration date
05/21/2007
Last updated
07/09/2007
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