Organization
D J PARK PC
Active
Other names
Aspen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DONG JIN PARK DDS (DDS/OWNER)
(315) 454-6000
Entity
Organization
Contact information
Practice address
490-19 SOUTH BROAD STREET, MERIDEN, CT 06450
(203) 237-1000
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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