Individual
DR. SUNJOO PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1120 W SOUTH BOULDER RD STE 204, LAFAYETTE, CO 80026-8952
(720) 638-2169
Mailing address
9580 RIDGEGATE PKWY APT 1229, LONE TREE, CO 80124-5393
(607) 220-4485
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1001347
WI
1223G0001X
General Practice Dentistry
Primary
DEN.00204355
CO
Other
Enumeration date
06/13/2016
Last updated
04/07/2021
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