Organization
JAE HONG PARK DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAE HONG PARK DMD (PRESIDENT)
(929) 888-5010
Entity
Organization
Contact information
Practice address
71 SCHOOL ST # 1010, GLEN COVE, NY 11542-2511
(347) 509-4084
Mailing address
184 KENT AVE APT A304, BROOKLYN, NY 11249-3176
(929) 888-5010
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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