Individual
JENNY PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1685 CROWN AVE, LANCASTER, PA 17601-6322
(215) 983-2624
Mailing address
1685 CROWN AVE, LANCASTER, PA 17601-6322
(215) 983-2624
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS039525
PA
Other
Enumeration date
06/28/2013
Last updated
07/31/2025
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