Individual
DR. JACLYN J PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
115 E 57TH ST, SUITE#1520, NEW YORK, NY 10022-2049
(212) 759-7303
(212) 750-8929
Mailing address
115 E 57TH ST, SUITE #1520, NEW YORK, NY 10022-2049
(212) 759-7303
(212) 750-8929
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
043731
NY
Other
Enumeration date
04/03/2007
Last updated
08/04/2009
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