Individual
CHRISTINE S PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
57 W 57TH ST STE 708, NEW YORK, NY 10019-2816
(212) 688-3472
Mailing address
57 W 57TH ST STE 708, NEW YORK, NY 10019-2816
(212) 688-3472
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
061323
NY
122300000X
Dentist
22DI03069000
NJ
Other
Enumeration date
03/11/2019
Last updated
05/05/2025
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