Organization
MILLTOWN DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JINWOO PARK D.D.S. (DENTIST/OWNER)
(302) 998-9594
Entity
Organization
Contact information
Practice address
2601 ANNAND DR, #18, WILMINGTON, DE 19808-3719
(302) 998-9594
(302) 998-8207
Mailing address
2601 ANNAND DR, #18, WILMINGTON, DE 19808-3719
(302) 998-9594
(302) 998-8207
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
G1-0001310
DE
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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