Individual
DR. JAEYOUN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
609 PAUL HUFF PKWY NW, CLEVELAND, TN 37312-2970
(318) 233-6077
Mailing address
7219 AVENTINE WAY APT 303, CHATTANOOGA, TN 37421-4180
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12232
TN
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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