Individual
DR. JONG WOOK PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2429 ELLSWORTH RD, YPSILANTI, MI 48197
(734) 434-0043
Mailing address
350 N CLARK ST, C/O KOS SERVICES, CHICAGO, IL 60654
(312) 274-4526
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901021434
MI
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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