Individual
JAMES PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
127 E MAIN ST STE 131, MIDDLETOWN, NY 10940-5118
(845) 342-5866
Mailing address
11 L AMBIANCE CT, BARDONIA, NY 10954-1400
(646) 704-4178
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
060196
NY
Other
Enumeration date
05/29/2017
Last updated
03/10/2022
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