Individual
GYU TAE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
846 BERGEN AVE, JERSEY CITY, NJ 07306-4404
(201) 946-1000
(201) 946-1641
Mailing address
846 BERGEN AVE, JERSEY CITY, NJ 07306-4404
(201) 946-1000
(201) 946-1641
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
27541
NJ
Other
Enumeration date
03/09/2015
Last updated
09/30/2019
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