Individual
DR. JUNGHEE JODI PAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
4600 RIVER RD N, KEIZER, OR 97303-4648
(503) 393-2264
Mailing address
5295 PLEASANT HILL LN S, SALEM, OR 97302-9631
(503) 362-6262
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9332
OR
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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