Individual
JUN HWAN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6100 WASHINGTON AVE STE F2, MT PLEASANT, WI 53406-4000
(262) 999-9998
Mailing address
1765 TALLGRASS LN, LAKE FOREST, IL 60045-4858
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019.034663
IL
1223G0001X
General Practice Dentistry
Primary
6001735
WI
Other
Enumeration date
11/13/2023
Last updated
03/08/2026
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