Organization
FOUR SEASONS DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHONGMIN PARK D.D.S. (PRESIDENT)
(718) 762-3361
Entity
Organization
Contact information
Practice address
14340 38TH AVE, 102, FLUSHING, NY 11354-5759
(718) 762-3361
Mailing address
14340 38TH AVE, 102, FLUSHING, NY 11354-5759
(718) 762-3361
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
050303
NY
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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