Organization
DR YOUNG PARK PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOUNG PARK (MCD)
(315) 454-6000
Entity
Organization
Contact information
Practice address
1600 WOODBURY AVE, PORTSMOUTH, NH 03801-3250
(603) 431-1030
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/19/2007
Last updated
08/22/2020
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