Individual
DR. CANDICE PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
244 MAIN ST, METUCHEN, NJ 08840-2728
(732) 548-1218
Mailing address
244 MAIN ST, METUCHEN, NJ 08840-2728
(323) 509-8342
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02412900
NJ
Other
Enumeration date
07/13/2009
Last updated
07/13/2009
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