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Individual

JOO HYOUNG PARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
625 ELMWOOD AVE, ROCHESTER, NY 14620-2913
(585) 275-5051
Mailing address
350 N CLARK ST FL 6, DENTAL DREAMS LLC C/O DANIELLE THARP, CHICAGO, IL 60654-4712

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
019.030227
IL
1223P0221X
Pediatric Dentistry
Primary
061725
NY

Other

Enumeration date
09/08/2015
Last updated
07/15/2021
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