Organization
DENTAL PARK OF SAN JUAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAN MIN PARK DDS (OWNER)
(956) 783-7070
Entity
Organization
Contact information
Practice address
1618 N VETERANS BLVD STE A, SAN JUAN, TX 78589-3221
(956) 783-7070
Mailing address
1618 N VETERANS BLVD STE A, SAN JUAN, TX 78589-3221
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/10/2020
Last updated
10/10/2020
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