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Organization

PREMIER ENDODONTICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOON PARK DDS (OWNER/ENDODONTIST)
(443) 465-4065
Entity
Organization

Contact information

Practice address
300 GRAND AVE STE 204, ENGLEWOOD, NJ 07631-6300
(201) 308-6911
Mailing address
300 GRAND AVE STE 204, ENGLEWOOD, NJ 07631-6300
(201) 308-6911

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary

Other

Enumeration date
07/23/2024
Last updated
07/23/2024
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